肝囊型包虫病内囊摘除术与外囊完整剥除术的对比研究  

A comparative study on total cystectomy and internal cyst extirpation for hepatic cystic echinococcosis

作　　者：巴桑顿珠[1] 罗亦刚[1] 黄磊[2] 

机构地区：[1]西藏自治区第一人民医院普外科,拉萨850000 [2]北京大学人民医院肝胆外科中心

出　　处：《中华普通外科杂志》2013年第7期526-528,共3页Chinese Journal of General Surgery

摘　　要：目的对比研究肝囊型包虫病采用内囊摘除与外囊剥除两种术式的疗效。方法回顾性分析自2007年6月至2011年3月收治的囊型肝包虫病患者118例，其中采用传统内囊摘除术56例，外囊完整剥除术62例。观察2组患者手术时间、术中出血量、术后住院天数、术后各种并发症、手术死亡率、原位复发率、再次入院率、再次手术率等指标。结果新型外囊完整剥除术术后并发症、原位复发率、再次入院率、再次手术率、术后住院天数等均低于传统组。而外囊摘除组手术时间较长、术中出血量较多。结论外囊完整剥除术作为一种新型术式，能减少术后各种并发症、降低原位复发率，该术式值得临床推广。Objective To study the therapeutic effects of total cystectomy and internal cyst extirpation for hepatic cystic echinococcosis （HCE）. Methods From June 2007 to Mar 2011, 118 HCE cases were admitted and underwent surgery including 56 cases treated with internal cyst extirpation, and 62 cases with total cysteetomy. Operation time, intraoperative blood loss, postoperative hospital stay, postoperative complications, operative mortality and recurrence rate, re-hospitalization rate, re-operation rate were comparatively studied. Results Compared with internal cyst extirpation patients receiving total eystectomy had less postoperative complications, lower rate of recurrence, re-hospitalization and re-operation, and shorter postoperative hospital stay, although with a longer operation time and more intraoperative blood loss. Conclusions Total cystectomy can reduce postoperative complications, recurrence rate, and shorten postoperative hospital stay. Total eystectomy should be a choice of therapy for the management of HCE.

关 键 词：棘球蚴病 肝 外科手术 外囊完整剥除术 

分 类 号：R657.3[医药卫生—外科学]