CAJ | 학술논문

目的总结心脏棘球蚴病的外科治疗经验.方法回顾性分析新疆医科大学第一附属医院心脏外科在1978年2月至2011年9月25例心脏棘球蚴病患者的临床资料.其中男15例,女10例；平均年龄(29±8)岁.结果本组患者心肌棘球蚴病16例,心包棘球蚴病7例,心肌合并心包棘球蚴病2例,手术方式主要有全棘球蚴切除术、内囊穿刺摘除术和内囊完整摘除术.术后均顺利恢复出院,术后对生存者随访5 ～ 168(68 ±21)个月.1例患者术后10个月死于心力衰竭,4例患者复发.结论外科手术是心脏棘球蚴病的首选治疗措施,合理的手术方式对于治疗病变、防止复发至关重要.
목적 총결심장극구유병적외과치료경험.방법 회고성분석신강의과대학제일부속의원심장외과재1978년2월지2011년9월25례심장극구유병환자적림상자료.기중남15례,녀10례；평균년령(29±8)세.결과 본조환자심기극구유병16례,심포극구유병7례,심기합병심포극구유병2례,수술방식주요유전극구유절제술、내낭천자적제술화내낭완정적제술.술후균순리회복출원,술후대생존자수방5 ～ 168(68 ±21)개월.1례환자술후10개월사우심력쇠갈,4례환자복발.결론 외과수술시심장극구유병적수선치료조시,합리적수술방식대우치료병변、방지복발지관중요.
Objective To review the experience of surgical treatment of cardiac echinococcosis.Methods Twenty-five patients with cardiac echinococcosis,including 15 males and 10 females with a mean age of (29 ±8) years,undergoing surgical treatment from February 1978 to September 2011 were retrospectively summarized.Results There were myocardial echinococcosis (n =16),pericardial echinococcosis (n =7),myocardial and pericardial echinococcosis (n =2).The surgical procedures included complete resection of hydatid cysts,cystectomy with needle aspiration and complete removal of endocyst.There was no intraoperative mortality.Twenty-one patients were followed up for 5-168 months.Four patients recurred and 1 died from heart failure at 10 months postoperation.Conclusion The preferred treatment of cardiac hydatid cyst is surgical resection.And a selection of proper technique is of great importance for excising hydatid cyst and preventing recurrence.