CAJ | 학술논문

目的探讨根治性全囊肿切除手术在临床上治疗肝囊性包虫病的体会及治疗价值.方法回顾分析近6年来开展的根治性全囊肿切除手术治疗肝囊性包虫病的临床资料86例,并与随机抽样的90例传统内囊摘除手术病例加以比较,观察其术后住院天数、腹腔引流天数、残腔置管天数、残腔积液、残腔感染、胆汁漏,原位复发率等临床指标.结果根治性全囊肿切除手术治疗肝囊性包虫病,其手术彻底、安全,平均住院天数及腹腔引流天数明显少于传统内囊摘除术组(分别t=7.9915,59.86,均P＜0.001),且术后无胆漏、残腔积液、残腔感染、原位复发率等并发症发生,疗效显著.结论根治性全囊肿切除手术其术后无残腔并发症、原位复发率发生,术后住院天数明显减少.是目前治疗肝囊性包虫病的一种比较理想的新的根治方法.
목적 탐토근치성전낭종절제수술재림상상치료간낭성포충병적체회급치료개치.방법 회고분석근6년래개전적근치성전낭종절제수술치료간낭성포충병적림상자료86례,병여수궤추양적90례전통내낭적제수술병례가이비교,관찰기술후주원천수、복강인류천수、잔강치관천수、잔강적액、잔강감염、담즙루,원위복발솔등림상지표.결과 근치성전낭종절제수술치료간낭성포충병,기수술철저、안전,평균주원천수급복강인류천수명현소우전통내낭적제술조(분별t=7.9915,59.86,균P＜0.001),차술후무담루、잔강적액、잔강감염、원위복발솔등병발증발생,료효현저.결론 근치성전낭종절제수술기술후무잔강병발증、원위복발솔발생,술후주원천수명현감소.시목전치료간낭성포충병적일충비교이상적신적근치방법.
Objective To investigate the effect of radical surgical excision of total cyst for hepatic cystic echinoccosis. Methods During six years,86 patients with hepatic cystic echinococcosis were treated by radical surgical excision of the total cyst.Hospital stay,abdominal drainage time,residual cavity drainage,accumulated liquid in residual cavity,residual cavity infection and recurrence were compared with that in 90 cases receiving internal capsule extirpation. Results Radical surgical excision of total cyst for hepatic cystic echinococcosis is safe and very effective,the average hospital stay was significant shorter(P＜0.001)and there was no significant complications such as billiay fistula,residual cavity infection,accumulated liquid of residual cavity and recurrence of hydatid cyst. Conclusion Radical surgical excision of total cyst is an ideal and new therapeutic method for the treatment of hepatic cystic eehinococcosis.