CAJ | 학술논문

目的对比研究肝囊型包虫病采用内囊摘除与外囊剥除两种术式的疗效.方法回顾性分析自2007年6月至2011年3月收治的囊型肝包虫病患者118例,其中采用传统内囊摘除术56例,外囊完整剥除术62例.观察2组患者手术时间、术中出血量、术后住院天数、术后各种并发症、手术死亡率、原位复发率、再次入院率、再次手术率等指标.结果新型外囊完整剥除术术后并发症、原位复发率、再次入院率、再次手术率、术后住院天数等均低于传统组.而外囊摘除组手术时间较长、术中出血量较多.结论外囊完整剥除术作为一种新型术式,能减少术后各种并发症、降低原位复发率,该术式值得临床推广.
목적 대비연구간낭형포충병채용내낭적제여외낭박제량충술식적료효.방법 회고성분석자2007년6월지2011년3월수치적낭형간포충병환자118례,기중채용전통내낭적제술56례,외낭완정박제술62례.관찰2조환자수술시간、술중출혈량、술후주원천수、술후각충병발증、수술사망솔、원위복발솔、재차입원솔、재차수술솔등지표.결과 신형외낭완정박제술술후병발증、원위복발솔、재차입원솔、재차수술솔、술후주원천수등균저우전통조.이외낭적제조수술시간교장、술중출혈량교다.결론 외낭완정박제술작위일충신형술식,능감소술후각충병발증、강저원위복발솔,해술식치득림상추엄.
Objective To study the therapeutic effects of total cystectomy and internal cyst extirpation for hepatic cystic echinococcosis (HCE).Methods From June 2007 to Mar 2011,118 HCE cases were admitted and underwent surgery including 56 cases treated with internal cyst extirpation,and 62 cases with total cystectomy.Operation time,intraoperative blood loss,postoperative hospital stay,postoperative complications,operative mortality and recurrence rate,re-hospitalization rate,re-operation rate were comparatively studied.Results Compared with internal cyst extirpation patients receiving total cystectomy had less postoperative complications,lower rate of recurrence,re-hospitalization and re-operation,and shorter postoperative hospital stay,although with a longer operation time and more intraoperative blood loss.Conclusions Total cystectomy can reduce postoperative complications,recurrence rate,and shorten postoperative hospital stay.Total cystectomy should be a choice of therapy for the management of HCE.