CAJ | 학술논문

目的：探讨基层医院肝囊型包虫病(HCE)的手术治疗方式及其疗效。方法：收治肝包虫病患者235例，回顾性分析临床资料。结果：农牧民患病人数明显多于其他职业人群，且以中年为主。肝包虫病患者根据具体病变情况进行了手术治疗，取得了较好的疗效。本研究无手术死亡患者，235例患者均手术治愈，其中外囊完整剥除术组发生大出血1例，经输血、血管修补后治愈。3种手术方式中内囊摘除组术后残腔并发症、带管引流时间等均显著高于其他手术组(P＜0.01)，外囊完整剥除术组术后肝功不全、手术时间、出血量等均显著高于其他手术组(P＜0.01)。结论：基层医院针对肝囊型包虫病患者采取“个体化”的手术方案可取得较好的治疗效果。
목적：탐토기층의원간낭형포충병(HCE)적수술치료방식급기료효。방법：수치간포충병환자235례，회고성분석림상자료。결과：농목민환병인수명현다우기타직업인군，차이중년위주。간포충병환자근거구체병변정황진행료수술치료，취득료교호적료효。본연구무수술사망환자，235례환자균수술치유，기중외낭완정박제술조발생대출혈1례，경수혈、혈관수보후치유。3충수술방식중내낭적제조술후잔강병발증、대관인류시간등균현저고우기타수술조(P＜0.01)，외낭완정박제술조술후간공불전、수술시간、출혈량등균현저고우기타수술조(P＜0.01)。결론：기층의원침대간낭형포충병환자채취“개체화”적수술방안가취득교호적치료효과。
Objective:To investigate the operation treatment and curative effect of hepatic cystic echinococcosis(HCE) in basic hospital.Methods:235 patients with hepatic hydatid disease were selected.The clinical data were retrospectively analyzed.Results:The prevalence of the number of farmers and herdsmen was significantly more than other occupation groups;middle age was the most.According to the specific lesions,patients with hydatid disease of liver were given operation treatment,and the curative effect was good.In this study,there was no operation death patients,and 235 patients were cured.In the external capsule of enucleation surgery group,l case had bleeding,and he was cured after transfusion,blood vessel repair.In the three kinds of operation modes,in excision of internal capsule group,postoperative residual cavity complications,with tube drainage time were significantly higher than those of other operation group(P<0.01).In external capsule complete cystectomy group,postoperative liver dysfunction, operation time,bleeding volume were significantly higher than those of other operation group(P<0.01).Conclusion:In basic level hospital,for patients with hepatic cystic echinococcosis,taking "the individual operation" can obtain better therapeutic effect.