两种肝包虫病外科治疗术后超声随访结果分析

The ultrasound follow-up study of hepatic hydatid disease after surgical treatment

目的 探讨肝包虫囊肿外囊切除与保留外囊两种术式疗效差异。方法 采用超声诊断技术对2 90例肝包虫病患者进行随访。病例分组为:外囊切除术式组(4 9例)与保留外囊术式组(2 41例)。对两组的术后残腔形成、原位复发两项指标进行对比分析。结果 外囊切除术的术后残腔并发症及原位复发均低于保留外囊术式组(P <0 .0 1,P <0 .0 5 )。结论 肝包虫囊肿外囊切除可降低残腔并发症与原位复发。

Objective To study the ultrasound characteristics of two surgical procedures for hepatic hydatid disease.Methods 290 patients with hepatic hydatid disease were followed by liver ultrasonography. All cases were classified into two groups: the pericysts removal group (n=49) and the reserving preicysts reserved group (n=241). The clinical data of residual cavity and local recurrence were analyzed relatively.Results Pericystectomy was much better than cystectomy in the postoperative complications, like liver residual cavity and local recurrence (P<0.01, P<0.05).Conclusion The results indicate that pericystectomy can decrease the complications of liver residual cavity and local recurrence.