[腹部包虫病囊肿内容物的术中处理]
[Intraoperative treatment of cyst contents in abdominal echinococcosis].
作者信息
Zhou Zhi-de, Xu Quan-hong, Peng Shun-zhou
机构信息
Department of Surgery, 41 Hospital of PLA, Shannan 856100, Tibet, China.
出版信息
Di Yi Jun Yi Da Xue Xue Bao. 2004 Nov;24(11):1335-6.
OBJECTIVE
To study the methods for intraoperative treatment of the cyst contents in patients with abdominal echinococcosis.
METHOD
Sixty-nine cases of abdominal echinococcosis were reviewed for intraoperative disposal of the cyst contents using 5% formaldehyde (group A, 33 cases) or 25% NaCl solution (group B, 36 cases), and the effects and incidence of complications were compared.
RESULTS
No relapse occurred in 33 cases with 5% formaldehyde treatment of the cyst contents, but postoperative intestinal fistula took place in 8 cases. In 36 cases with 25% NaCl treatment of the cyst contents, relapse occurred in one case postoperatively but no complications were seen in other patients.
CONCLUSION
Treatment of the cyst contents with 5% formaldehyde may lead to intestinal fistula, and 25% NaCl solution may give rise to the risk of recurrence, so that both methods need improvement.
目的
探讨腹部包虫病患者术中囊肿内容物的处理方法。
方法
回顾性分析69例腹部包虫病患者，术中采用5%甲醛（A组，33例）或25%氯化钠溶液（B组，36例）处理囊肿内容物，比较其效果及并发症发生率。
结果
5%甲醛处理囊肿内容物的33例患者均无复发，但术后发生肠瘘8例。25%氯化钠处理囊肿内容物的36例患者，术后1例复发，其余患者未见并发症。
结论
5%甲醛处理囊肿内容物可能导致肠瘘，25%氯化钠溶液可能有复发风险，两种方法均需改进。
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