包虫病手术治疗的进展（附21560例分析）

The Progress in surgical treatment of hydatid disease

本文对新疆包虫病流行地区５８所县级以上医院４０年来经手术治疗的２１５６０例包虫病进行了临床分析，手术方式包括脏器部分或全部切除，包虫穿刺摘除，包虫完整摘除或经腹腔镜摘除术。对外囊空腔的处理方法有空腔闭锁，空腔敞开，网膜填充或闭式引流术。对术中囊内注药和术后口服杀虫剂辅助治疗等也进行了分衍。结果表明近十余年来包虫病手术治疗的效果提高显著。有的医院手术治疗近千例包虫病，无手术死亡及复发。

Abstract A clinical analysis on 21560 patients with surgically treated hydatid disease from 58 regional district and country hospitals was made during latest 40 years. The surgical procedure including: Partial or total removing the involved organ,punctured aspiration, completed resected or laparoscopically removing the hydatid cyst. The way of managenient of outer cystic space were blocking. Opening the space or packing it with omentum or simply sump drainage. The therapeutical effect of intracystic medication and postoperative orally administration of mebendazole and albendazole to kill the remained scolices as an adjuvant to surgical treatment has also been analyzed,These results showed that a great progress has been made in last decate espesially in some hospitals where one thousand patients xvith hydatid disease were treated surgically without operating mortality .