心脏囊型棘球蚴的外科治疗

Surgical Treatment of Cardiac Cystic Echinococcosis

目的探讨心脏囊型棘球蚴的外科治疗策略。方法回顾性分析1978年2月至2013年4月我院收治的26例心脏囊型棘球蚴患者,男15例,女11例,年龄8～60（28.9±7.6）岁,所有患者行囊穿刺摘除术、内囊完整摘除术或全棘球蚴切除术。结果 26例手术均顺利进行,围手术期无患者死亡,平均手术时间（110±32）min,平均术后住院时间（8.1±2.3）d。除4例失访外,其余患者随访15～190（75±11）个月,其中1例远期死亡,3例复发。结论外科手术治疗心脏囊型棘球蚴应根据患者病情选择合理的手术方式,其效果确切,复发率低。

Objective To discuss the strategy of surgical treatment for cardiac cystic echinococcosis. Methods We retrospectively analyzed the clinical data of 26 patients diagnosed with cardiac cystic echinococcosis between February 1978 and April 2013 in our hospital. There were 11 females and 15 females at a mean age of 28.9±7.6 years ranging 8-60 years. All patients underwent endocyst-punctured cystectomy,enucleation of intact endocyst and total cyst resection. Results All 26 surgeries were successful and there was no perioperative mortality. The mean time of operation was 110±32 minutes,and the mean time of hospital stay was 8.1±2.3 days. The mean follow-up time of 22 patients was 75±11 months ranging 15-190 months. There were 4 patients who were lost to follow-up. There were three recurrences and one late death. Conclusions We should choose the proper surgical method based on the patients＇ condition.There is a certain effect and a low recurrance for surgical treatment of cardiac cystic echinococcosis.