25%高渗盐水灭活肝细粒棘球蚴疗效的临床观察  

CLINICAL OBSERVATION OF EFFECT IN INACTIVATING HEPATIC ECHINOCOCCI BY 25 % HYPERTONIC SALINE SOLUTION

作　　者：任仲轩[1] 马福贵 

机构地区：[1]河北医科大学第三医院传染病学教研室,河北石家庄050051 [2]新疆焉耆回族自治县人民医院,新疆焉耆841100

出　　处：《河北医科大学学报》2003年第1期13-15,共3页Journal of Hebei Medical University

摘　　要：目的研究 2 5 %高渗盐水灭活肝细粒棘球蚴的效果。方法以 14 8例患者应用 2 5 %高渗盐水为灭活剂处理肝细粒棘球蚴囊腔作为观察组 ,6 0例患者应用 10 %甲醛和 3%过氧化氢为灭活剂为对照组 ,比较两组的疗效和预后。结果观察组和对照组比较 ,住院天数无显著性差异 (P >0 .0 5 ) ;但是术后感染率、可随访患者术后复发率和术后 3个月、6个月残腔消失率均有显著性差异 (P <0 .0 5 )。结论 2 5 %高渗盐水作为灭活剂处理肝细粒棘球蚴囊腔 ,可降低术后感染率和复发率 ,且术后残腔消失较快 ,值得临床推广。ObjectiveTo study the effect of inactivating hepatic echinococci by 25 % hypertonic saline solution.Methods148 cases treated with 25 % hypertonic saline solution as an inactivator for the cystic cavity of hepatic echinocococci were taken as observed group, and 60 cases treated with 10 % formaldehyde solution and 3% hydrogen peroxide as controls. The effect and prophylaxis were compared between two groups. ResultsThere were no marked significance of the days of hospitalization (P> 0.05 ), but the difference of postoperative infection rate, postoperative recurrence rate in follow up cases and disappearance rate of postoperative residual cavity were significantly between two groups(P< 0.05 ). ConclusionThere are lower postoperative infection rate, recurrence rate and more speedy disappearance of postoperative residual cavity when 25 % hypertonic saline solution as an inactivator is used in treating the cystic cavity of hepatic echinococci, therefore, it is worth popularizing in clinical practice.

关 键 词：肝细粒棘球蚴 疗效 高渗盐水 感染控制 手术治疗 灭活剂 

分 类 号：R657.3[医药卫生—外科学]