大网膜填充治疗肝包虫残腔胆汁瘘并感染的临床研究

Treatment of Bile Fistula induced by Residual Cavity of Hepatic Echinicoccosis with Omentum

目的:利用大网膜有较强的吸收粘连、抗感染能力和增加局部肝组织的免疫及修复能力,填充肝包虫残腔,治疗胆汁瘘合并感染,消灭残腔。方法:以胃网膜右动脉为蒂,切断结扎大网膜中动脉,再斜向上到达大网膜左动脉附近切断,裁剪呈L型约15cm×30cm网膜片,填入肝包虫残腔同时置橡皮引流管。结果:本组手术38例,平均带管12天,体温正常,肝功能改善,术后3个月残腔全部消失,没有出现并发症,平均住院时间2周。结论:该术式操作简便,损伤小无并发症。大网膜填入包虫残腔内具有填充止血、吸收粘连的功效,术后恢复快,住院天数缩短,降低了费用,提高了病人的生活质量。

Objective： To understand the treatment effect of bile fistula induced by hepatic echinococcosis with omentum. Methods： 38 patients with bile fistula induced by residual cavity of hepatic echinococcosis, combined with infection, were operated using the enthesis with omentum. Results： All patients received surgery enthesis operation were cured in three months, no any complications were found. Conclusions： It is a good surgical method for treatment of bile fistula combined with infection induced by hepatic echinococcosis using the enthesis with omentam.