【摘要】 目的对比肝棘球蚴病两种手术方式的优劣。方法分析我科十余年来收治肝棘球蚴病例,比较两种术式(内囊摘除术、外囊残腔开放术117例,内囊摘除术、外囊残腔引流术144例)的手术时间、术中出血量、住院天数、体温恢复时间、拔管时间、术后并发症的发生率等指标。结果残腔开放术在住院时间、术中出血量与残腔引流术相比差异无统计学意义(P>0.05);在手术耗时、体温恢复时间和拔管时间与残腔引流术相比差异有统计学意义(P<0.05);两种术式术后并发症发生率差异有统计学意义(P<0.05)。结论内囊摘除、外囊残腔开放手术术式具有简单、安全、有效等优点,可以满足大部分肝棘球蚴病外科手术治疗需要。更多还原

【Abstract】 Objective To discuss the advantages and disadvantages of different types of operations.Methods The excision of internal capsule supplemented with opening of the parasitic cyst(group A,117 patients)and excision of internal capsule plus external drainage(group B,142 patients)were done.Operating time(min),operative blood loss(ml),everage hospital stay(days)and recovery of body temperature(days),time of drainage-tube in abdomen(month),complications and so on were analyzed.Results Hospital stay,and operative blood loss showed no significant difference between group A and B(P>0.05),but operating time,extubation time and recovery of body temperature in group A was longer than in group B(P<0.05).There was significant difference in the incidence rate of complications between two groups(P<0.05).Conclusion Excision of internal capsule supplemented with opening of the parasitic cyst should be the suitable surgical procedure because it is safe,simple and effective and meets all criteria of surgical treatment for hydatid disease.更多还原