腹腔镜治疗肝囊型包虫病的研究现状  

Current status of research on laparoscopic treatment of hepatic cystic echinococcosis

作　　者：那布拉江·艾合买提 吐尔干艾力·阿吉[1] AIHEMAITI Nabulajiang;AJI Tuerganaili(Department of Hepatobiliary&Hydatid Surgery,The First Affiliated Hospital of Xinjiang Medical University,Urumqi 830054,China)

机构地区：[1]新疆医科大学第一附属医院肝胆包虫外科,乌鲁木齐830054

出　　处：《临床肝胆病杂志》2020年第11期2613-2616,共4页Journal of Clinical Hepatology

基　　金：国家自然科学基金地区项目(81960377);传染病防治国家科技重大专项(2018ZX10301201)。

摘　　要：包虫病是牧区常见的一种寄生虫病,临床上以肝囊型包虫病较为多见,其主要治疗手段为手术切除。随着腔镜技术的不断发展且其具有损伤小、视野清晰、术后康复较快等优点,逐步应用于肝囊型包虫病的治疗,并取得了良好的效果。因临床上腹腔镜下内囊摘除术和外囊次全切除术术后残腔并发症、复发的发生率较高,故对于肝囊型包虫病不建议使用;腹腔镜肝部分切除术及外囊完整剥除术在根治性切除病灶的同时还具有创伤小、并发症少、安全等优点。故本文根据国内外相关文献归纳并着重阐述了腹腔镜肝部分切除术及外囊完整剥除术的适应证、注意事项及并发症,为肝囊型包虫病的微创治疗提供一定的参考。Echinococcosis is a common type of parasitic disease in pastoral areas,and hepatic cystic echinococcosis is mainly observed in clinical practice,with surgical resection as the main treatment method.With the continuous development of endoscopic technology and the advantages of little trauma,clear visual field,and rapid postoperative recovery,it has gradually been applied in the treatment of hepatic cystic echinococcosis and has achieved a good treatment effect.Since laparoscopic endocystectomy and subtotal pericystectomy have high incidence rates of residual cavity complications and recurrence in clinical practice,they are not recommended for the treatment of hepatic cystic echinococcosis,and meanwhile,laparoscopic partial hepatectomy and total pericystectomy have the advantages of little trauma,few complications,and good safety in radical resection of lesion.With reference to related articles in China and foreign countries,this article summarizes and elaborates on the indications,precautions,and complications of laparoscopic partial hepatectomy and total pericystectomy,so as to provide a reference for minimally invasive treatment of hepatic cystic echinococcosis.

关 键 词：棘球蚴病 肝 腹腔镜检查 外科手术方式 

分 类 号：R532.32[医药卫生—内科学]