膈下肝顶包虫病的诊断与开胸治疗

Diagnosis and Thoracotomy Treatment for Hepatophrenic Echinococosis

开胸手术治疗８９例膈下肝顶包虫病。我们认为：根据临床病理类型，结合Ｘ线胸片膈肌位置升高和／或Ｂ超体表定位囊肿位于肝顶部的征象，行开胸手术可清楚暴露术野，在直视下摘除包虫内囊，不致遗漏子囊，一期处理胸部病变，能预防复发，提高疗效，增加手术安全性。

Clinical pathologic types,distribution sites,diagnosis basis and surgical treatment of hepatophrenic echinococcosis in 89 cases were analyzed in this paper.The author considered it is possible to perform a thorough removal of the internal capsules under direct vision without leaving out daughter cysts.Recurrence can be avoided if a correct diagnosis is made,adequate exposure obtained through an appropriate thoracotomy and radical operation done with caution.