肝包虫囊肿的手术治疗  

Operation or hydatid cyst or liver

作　　者：刘瑞林[1] 章仁道[1] 

机构地区：[1]安徽省蚌埠医学院附属医院普外科,233004

出　　处：《淮海医药》2000年第4期254-255,共2页Journal of Huaihai Medicine

摘　　要：目的　总结肝包虫囊肿手术治疗体会。方法　回顾性总结９例肝包虫囊肿患者的１３个囊肿手术方法的选择，行包虫囊肿穿刺、内囊摘除术４例７个，子囊取出、内囊剥除术４例５个，肝左叶部分切除术１例。结果 术后橡皮管外引流少量胆汁漏５例，较大量胆汁漏（＞ ２００ ｍｌ· ｄ－１） １例，全部痊愈出院。结论　包虫囊肿穿刺、内囊摘除术和子囊取出、内囊剥除术为二种安全可靠的手术方法。Objective To summarize the operative experiences of hydatid cyst of liver. Methods The selection of operative methods was retrospectirely summarized in 9 patients with 13 cysts of hydatid cyst of liver. Of 9 cases,4 patients (7 cysts) were underwent hydatid cyst puncture and internal cyst extirpation,4 patients (5 cysts) undowent subcyst extraction and internal cyst decortication and part left lobecomy of liver was performed in 1 patiant. Results Five patients had a little amount of bile leakage through rubber tube ectodrain and 1 patient had serious bile leakage (>200 ml/day). All patients were cured and discharged. Conclusions Both hydatid cyst puncture, internal cyst extirpation and subcyst extraction, internal cyst decortication are safe and reliable operative methods to manage hydatid cyst of liver.

关 键 词：肝包虫囊肿 外科手术 术式 疗效 

分 类 号：R532.32[医药卫生—内科学] R657.3[医药卫生—临床医学]