根治性肝包虫病外科治疗术式选择

A new principle of radical surgical procedures for hepatic hydatid disease

目的 探讨一种新型根治肝包虫囊肿切除术式的临床应用价值。方法 对我院 3年间 (1999年～ 2 0 0 2年 )采用根治性肝包虫病外科手术治疗的 99例肝包虫病患者的资料分组 ;A组 :6 7例 ,行外膜内完整外囊摘除术 (新术式 ) ;B组 ;32例行传统外囊摘术 (以肝切除技术为基础的术式 )。临床观察指标为手术耗时、术后平均住院日、出血量、术后并发证、死亡率及原位复发率等进行回顾性分析。并对数据进行统计分析。结果 外膜内完整外囊摘除术式组的术后平均住院日、手术耗时、出血量等均低于传统外囊摘除术式组 (P<0 .0 5 ) ,术后并发证、死亡率、原位复发率无差异 ,(P>0 .0 5 )。结论 根治性肝包虫病外科治疗术式中 ,外膜内完整外囊摘除术式完全性高 ,应首选。

Objective To probe into the choice of radical surgical procedures for hepatic hydatid disease. Methods An retrospective analysis was mkade on 99 patients with hepatric hydatid disease in a period of 3 years. Two kids pericystectomy including traditional procedure and a new surgical procedure being named for 'total subadventitial dystectomy' were performed. The clinical data were analysed relatively. Results The postoperative hospital stays, surgical median time and blood loss in the new procedure were lower than its in traditional pericystectomy (P<0.05,P<0.05,P<0.05)? Conclusions The results indicate that total subadvenhtitial cystectomy should be selected firstly.