肝囊性包虫病手术的治疗体会:附87例报告

目的总结手术治疗肝囊性包虫病的的经验体会。方法回顾性分析近3年我院手术治疗的87例肝囊性包虫病患者的情况，手术方法分成2组:内囊摘除加外囊次全切除组（64例）和外囊完整剥除术组（23例）。结果两组手术方式中，内囊摘除加外囊次全切除组在术中出血量、手术时间方面优于肝囊型包虫病外囊完整剥除术组（P<0.05），外囊完整剥除术组在术后带管时间、残腔积液感染方面优于内囊摘除加外囊次全切除组（P<0.05），两组在住院时间、原位复发率方面，差异无统计学意义（P>0.05）。结论肝包虫内囊摘除加外囊次全切除术和外囊完整剥除术均各有优缺点，具体手术方式应根据患者病情，影像学资料，当地医疗水平进行合理选择。 

Surgical treatment of hepatic cystic echinococcosis: 87 cases report

ObjectiveTo summarize the experience of surgical treatment of hepatic cystic echinococcosis.MethodsAn retrospective analysis was made in 87 cases of hepatic cystic echinococcosis in recent 3 years. The patients were divided into two groups: endocystectomy and subtotal pericystectomy group (64 patients) and total pericystectomy group (23 patients).ResultsEndocystectomy and subtotal pericystectomy group was significantly lower than total pericystectomy group in blood loss and operation time (P<0.05). Total pericystectomy group was superior than endocystectomy and subtotal pericystectomy group in the postoperative complications with residual cavity and draining time (P<0.05). There was no significant difference in the length of hospital stay and local recurrence between the two groups (P>0.05).ConclusionThe two kinds of surgical management to treat hepatic cystic echinococcosis have their advantages and disadvantages. The operation procedure should be chosen according to patient’s condition, imaging data and local medical level.