西藏地区526例肝包虫病的外科治疗  

The Experience of Surgical Treatment of 526 Patients with Hepatic Echinococcosis in Tibet.

作　　者：郑建伟[1] 杜富波[1] 王得春[1] 万晨光[1] 杨智炜[1] 张海斌[2] 

机构地区：[1]西藏军区总医院肝胆外科,拉萨510000 [2]第二军医大学东方肝胆外科医院肝外五科,上海200438

出　　处：《肝胆外科杂志》2014年第6期459-461,共3页Journal of Hepatobiliary Surgery

摘　　要：目的探讨西藏地区肝包虫病的临床特点、手术方式及疗效。方法回顾分析526例经手术确诊为肝包虫病患者的临床特点、手术方式、疗效及并发症等,总结手术治疗经验。结果全部患者均顺利完成手术,无术中死亡,平均住院日23.0±8.6d。术后并发症:胆漏32例(8.28%),包虫复发及种植12例(2.28%),切口感染18例(3.42%)。结论西藏地区肝包虫病发病主要集中在藏北牧区,治疗方式以手术为主,疗效确切,并发症及术后复发低,显著提高患者生活质量。Objective To study the clinical characteristics of patients with hepatic echinococcosis in Tibet and evaluate the effect of different surgical modes. Methods The information of 526 hepatic echinococcosis patients who were confirmed by operation was retrospectively analyzed,including the clinical characteristics of these patients,the different surgical modes,the effect and complications of surgeries. Results All patients accepted successful operation and there was no intraoperative death. However 32 patients experienced biliary fistula（8. 28%） and recurrence happened among 12 patients（2. 28%）. Eighteen cases were postoperatively infected in incision（3. 42%）. The average duration of hospitalization was 23. 0 ± 8. 6 days. Conclusion The incidence of hepatic echinococcosis in Tibet was mainly concentrated in the pastoral areas of northern Tibet. Surgeries were the main and effective treatment method for this disease. Patients shared low incidences of complications and recurrences after surgeries. All in all,surgeries can significantly improve the life quality of patients with hepatic echinococcosis.

关 键 词：肝包虫病 西藏 手术 疗效 

分 类 号：R575[医药卫生—消化系统]