大网膜填充治疗肝包虫残腔胆汁瘘并感染的临床研究

目的:利用大网膜有较强的吸收粘连、抗感染能力和增加局部肝组织的免疫及修复能力,填充肝包虫残腔,治疗胆汁瘘合并感染,消灭残腔。方法:以胃网膜右动脉为蒂,切断结扎大网膜中动脉,再斜向上到达大网膜左动脉附近切断,裁剪呈L型约15cm×30cm网膜片,填入肝包虫残腔同时置橡皮引流管。结果:本组手术38例,平均带管12天,体温正常,肝功能改善,术后3个月残腔全部消失,没有出现并发症,平均住院时间2周。结论:该术式操作简便,损伤小无并发症。大网膜填入包虫残腔内具有填充止血、吸收粘连的功效,术后恢复快,住院天数缩短,降低了费用,提高了病人的生活质量。

Treatment of Bile Fistula induced by Residual Cavity of Hepatic Echinicoccosis with Omentum

Objective: To understand the treatment effect of bile fistula induced by hepatic echinococcosis with omentum.Methods: 38 patients with bile fistula induced by residual cavity of hepatic echinococcosis,combined with infection,were operated using the enthesis with omentum.Results: All patients received surgery enthesis operation were cured in three months,no any complications were found.Conclusions: It is a good surgical method for treatment of bile fistula combined with infection induced by hepatic echinococcosis using the enthesis with omentum.