肺包虫病内囊完整摘除292例外科治疗体会

Experiences of surgical treatment in pulmonary echinococcus with entire resection of the hydatid vesicle in 292 cases

目的:探讨肺包虫病内囊完整摘除术的手术疗效。方法:回顾性分析292例肺包虫病内囊完整摘除术患者的临床特点和预后。结果:内囊完整摘除术占同期手术的24.98%,术中不慎造成包虫囊肿内囊破裂13例,术后复发4例(1.37%),292例无手术死亡,均痊愈好转出院。结论:内囊完整摘除术是肺包虫病最理想的术式,手术技术条件要求高,但只要掌握得当,仍能取得很好的疗效。

Objective： To investigate curative effect in pulmonary echinococcus with entire resection of the hydatid vesicle. Methods： The clinical data of 1 169 patients were analysed retrospectively. These patients with pulmonary echinococcus were performed operation. Results： There were 292 cases out of 1 169 （24.98%） treated with entire resection of the hydatid vesicle, 13 cases were resulted in rupture of hydatid interior vesicle during operation and 4 recurrences after operation（1.37%）. All of them were improved or cured with no death. Conclusions： Surgical treatment is the main method for pulmonary echinococcus. Whole resection of the hydatid vesicle is the best surgical treatment for pulmonary echinococcus. Although this procedure requests higher surgical techniques, it could get a satisfactory curative effect with proper handling.