Chernyshev V N, Panfilov K A, Bogdanov V E
Khirurgiia (Mosk). 2005(9):39-44.
Experience of surgical treatment of 373 patients with echinococcosis of liver is analyzed. Traditional surgeries were performed in 342 patients. Postoperative lethality was 1.46%, number of specific postoperative complications -- 12.5%. In long-term period recurrence was revealed in 18 (6.8%) of 264 examined patients. In 9 years after surgery residual cavities were diagnosed in 33 (9.64%) patients. Recovery was achieved in 93% patients. Experience of treatment of 31 patients with echinococcosis of liver with puncture methods (PAIR, PEVAC) was also analyzed. There were no lethal outcomes, severe complications and recurrences of disease during 2 years of follow-up. It is concluded that puncture method may be regarded as alternative for traditional surgical treatment, but it require further study.
分析了373例肝包虫病患者的外科治疗经验。342例患者接受了传统手术。术后死亡率为1.46%，特异性术后并发症发生率为12.5%。在长期随访中，264例接受检查的患者中有18例（6.8%）出现复发。术后9年，33例（9.64%）患者被诊断出有残留腔。93%的患者康复。还分析了31例采用穿刺方法（PAIR、PEVAC）治疗肝包虫病患者的经验。在2年的随访期间，没有出现致命后果、严重并发症和疾病复发。结论是，穿刺方法可被视为传统手术治疗的替代方法，但需要进一步研究。
