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47例肝包虫病合并胆瘘的解剖学特征分析

[Analysis on the anatomic features of 47 cases of hepatic hydatidosis complicated with biliary fistula].

作者信息

Yang Hong-qiang, Peng Xin-yu, Niu Jian-hua, Zhang Shi-jie, Sun Hong, Pan Hui-zhong, Wu Xiang-wei

机构信息

Department of General Surgery, The First Affiliated Hospital, Medical College of Shihezi University, China.

出版信息

Zhongguo Ji Sheng Chong Xue Yu Ji Sheng Chong Bing Za Zhi. 2006 Aug;24(4):257-60.

PMID:17094592
Abstract

OBJECTIVE

To propose a criterion and its significance of clinical classification of hepatic hydatidosis complicated with biliary fistula.

METHODS

47 hepatic hydatidosis with biliary fistula cases who were given a subadventitial pericystectomy were observed from 2000 to 2005 in a retrospective study. The methods included observation of the different anatomic features of hepatic hydatidosis complicated with biliary fistula during the surgical operation and evaluation of the curative effect.

RESULTS

All the 47 patients recuperated successfully and had no complication. Based on the anatomic features of hepatic hydatidosis complicated with biliary fistula, a criterion on clinical classification was proposed as three types: tangential, transfixional and terminal types.

CONCLUSIONS

Hepatic hydatidosis complicated with biliary fistula can be classified as three types according to its anatomic features.

摘要

目的

提出肝包虫病合并胆瘘临床分类的标准及其意义。

方法

对2000年至2005年行肝包虫病合并胆瘘外膜下囊肿切除术的47例患者进行回顾性研究。方法包括观察手术中肝包虫病合并胆瘘的不同解剖特征并评估疗效。

结果

47例患者均顺利康复,无并发症发生。根据肝包虫病合并胆瘘的解剖特征,提出临床分类标准为三种类型:切线型、贯穿型和终末型。

结论

肝包虫病合并胆瘘可根据其解剖特征分为三种类型。

相似文献

1
[Analysis on the anatomic features of 47 cases of hepatic hydatidosis complicated with biliary fistula].47例肝包虫病合并胆瘘的解剖学特征分析
Zhongguo Ji Sheng Chong Xue Yu Ji Sheng Chong Bing Za Zhi. 2006 Aug;24(4):257-60.
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[Treatment and etiological analysis of biliary fistula associated with liver hydatidosis: report of 13 cases].肝包虫病合并胆瘘的治疗及病因分析:附13例报告
Di Yi Jun Yi Da Xue Xue Bao. 2003 Jan;23(1):73-4.
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[Diagnosis and treatment of liver echinococcosis complicated by cysto-biliary fistula].肝包虫病合并胆瘘的诊断与治疗
Khirurgiia (Mosk). 1998(5):15-7.
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Diagnosis and management of hepatic hydatidosis complicated with biliary fistula.肝包虫病合并胆瘘的诊断与治疗
Chin Med J (Engl). 1992 Jan;105(1):69-72.
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Treatment of hydatid bronchobiliary fistulas: 30 years of experience.肝包虫支气管胆管瘘的治疗:30年经验
Liver Int. 2007 Mar;27(2):209-14. doi: 10.1111/j.1478-3231.2007.01435.x.
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[Treatment of cystobiliary fistula of hydatid cyst of the liver. Apropos of 33 cases].[肝包虫囊肿胆瘘的治疗。附33例报告]
J Chir (Paris). 1991 Mar;128(3):133-8.
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[Hepatic hydatidosis involving the biliary tract. Personal experience].[累及胆道的肝包虫病。个人经验]
Rev Esp Enferm Apar Dig. 1980 Jan;57(1):37-40.
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Asymptomatic occult cysto-biliary communication without bile into cavity of the liver hydatid cyst: a pitfall in conservative surgery.无症状性隐匿性胆囊-胆管瘘且胆汁未进入肝包虫囊肿腔内:保守手术中的一个陷阱
Int J Surg. 2009 Aug;7(4):387-91. doi: 10.1016/j.ijsu.2009.06.012. Epub 2009 Jun 30.
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[Surgical treatment of hepatic hydatidosis. Current trends].
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[Biliobronchial fistula as a complication of hepatic echinococcosis].[肝包虫病并发症之胆支气管瘘]
Lijec Vjesn. 1972 Jul;94(7):344-5.

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Treatment of complicated hepatic cystic hydatidosis with intrabiliary rupture by pericystectomy in combination with Roux-en-Y hepaticojejunostomy.经囊肿切除术联合Roux-en-Y肝空肠吻合术治疗合并胆管内破裂的复杂性肝囊型包虫病。
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