复发性肝包虫和残腔积液的外科治疗

SURGICAL THERAPY OF RECURRENT LIVER ECHINOCOCCOS HYDATID CYST

目的 减少或消灭肝包虫病术后复发及术后残腔积液等并发症。方法 8年间手术治疗的 32 0例肝包虫中筛选出 2 8例复发性肝包虫及术后残腔积液者 ,采用纤维胃镜探查、带蒂大网膜移植充填外囊腔、经皮肝穿刺抽液注入硬化剂 ,手术前后服抗包虫病药等综合性方法治疗。结果 本组 2 8例病人中未见包虫复发及残腔积液 ,治愈率达 10 0 %。结论 上述 3种方法对肝包虫病的“非接触手术技术”(untouchable technique)

s objective Try to dicrease or obliterate the complication of the relapse and residual cavity hydrops after the operation of liver echinococcus hydatid cyst.Methods 28cases with the relapse and residual cavity hydrops afer operation were choosen from 320 patients during 8-year.Gastrofiberscope was used to examine.To fill external capsule by peduncule tranplantation of greater omentum,to pump the blood and infuse sclerosiugagent by percutancous transbe paticwas adopted.with the methods of taking antiechinococcus hydatid Cuyst before or after the operation.Results There is no relapse and residual carity hydrops among the 28 patients,the cure rate is 100 percant.Conclusion The three methods have abvious effect for the Painless operation of echinococcosis.