肝包虫病112例手术治疗分析

Analysis on Operative Manner of 112 Cases with Hepatic Cysticercosis

目的 探讨肝包虫病有效的手术治疗方法。方法 单纯内囊摘除术 42例 ,内囊摘除 +双套管引流术 65例 ,内囊摘除 +囊腔空肠吻合术 5例。结果 单纯内囊摘除术后并发高热和腹腔脓肿分别为 66 7%,9 5 %;而内囊摘除 +双套管引流术术后并发高热和腹腔脓肿分别为4 6%,3 1%。并且前者平均住院时间为 2 5 7d ,后者为 18 5d。结论 内囊摘除 +双套管引流术较单纯内囊摘除术术后并发症发生率低 。

Objective To investigate the effective operative manner to hepatic cysticercosis. Methods Simple excision of internal capsule was given to 42 cases, and excision of internal capsule plus double cannula drainage to 65,and excision of internal capsule plus capsule jejunum anastomoses to 5.Results The incidence rates of secondary high fever and abdominal abscess after operations were respectively 66.7% and 9.5% in the cases that accepted simple excision of internal capsule,while they were 4.6% and 3.1% in those given excision of internal capsule plus double cannula drainage.The average hospitalization time of the former group was 25.7 days,while the time of the later was 18.5 days.Conclusion It is deemed that the rates of postoperative complications be lower in the cases given excision of internal capsule plus double cannula drainage than in those given simple excision of internal capsule,in addition to shorter hospitalization time.