198例肺棘球蚴病的外科治疗效果分析  

Analysis of Surgery Effect on 198 Cases of Pulmonary Echinococcosis

作　　者：于善海[1] 李德生[1] 伊力亚尔.夏合丁 吴明拜[1] 张力为[1] 

机构地区：[1]新疆医科大学第一附属医院胸外科,乌鲁木齐830054

出　　处：《中国寄生虫学与寄生虫病杂志》2012年第1期45-48,共4页Chinese Journal of Parasitology and Parasitic Diseases

摘　　要：目的总结肺棘球蚴病的外科治疗经验,选择合适的手术方式避免手术后复发。方法回顾性分析新疆医科大学第一附属医院2000年1月～2010年10月手术治疗的198例肺棘球蚴病患者的临床资料,包括一般情况、病程、流行病学、临床表现、治疗和转归情况等。结果 198例肺棘球蚴病患者中,男性114例,女性84例,年龄2～68岁,平均25.5岁。绝大多数为农牧民(148例,74.7%)和未成年人(43例,21.7%)。手术方法以内囊完整摘除术和内囊穿刺摘除术为主。198例患者无手术死亡,均痊愈或好转出院,术后并发肺部感染9例(4.5%),切口裂开7例(3.5%),切口感染4例(2.0%),均经局部换药延期愈合,术后随访1～10年,随访率为83.3%(165/198),随访期间11例复发,复发率5.6%(11/198)。198例患者共行226次手术,复发病例均经手术治愈。结论内囊摘除术是治疗肺棘球蚴病常用手术方式,手术效果好,术后复发率低。Objective To summarize the experience in the surgical treatment of pulmonary echinococcosis, and evaluate the operative approach to avoid recurrence. Methods A retrospective study was carried out to analyze the clinical data of 198 cases with pulmonary echinococcosis from January 2000 to October 2010 in the First Affiliated Hospital of Xinjiang Medical University, involving the general conditions, clinical course, epidemiology, clinical characteristics, therapeutic approaches and outcomes. Results There were 114 male and 84 female patients aged from 2 to 68 years with a mean of 25.5 years. Herdsmen accounted for 74.7% （148/198）, and the juveniles occupied 21.7% （43/198）. The major operative methods were complete removal of endocyst and cystectomy with needle aspiration. All the 198 cases were improved or cured. Postoperative pulmonary infection occured in 9 case （4.5%）, 7 cases （3.5%） suffered from wound dehiscence and 4 cases （2.0%） had wound infection, but cured by dressing. 165 patients （83.3%） were followed up for 1-10 years. The recurrence rate was 5.6% （11/198）. Patients with recurrence were cured after operation. 198 patients received 226 operations. Conclusion Complete removal of endocyst is the main method for pulmonary echinococcosis with better effect and less recurrence.

关 键 词：棘球蚴病 肺 外科治疗 

分 类 号：R532.32[医药卫生—内科学]