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包虫病的外科治疗

Surgical treatment of hydatidosis.

作者信息

Loi A, Mannu B, Montisci R, Pinna A D, Talloru M, Savona G, Pinna C D, Dettori G, Noya G, Brotzu G

机构信息

Institute of Pathology and Surgery, University of Cagliari, Italy.

出版信息

Ann Chir Gynaecol. 1991;80(1):59-64.

PMID:1888115
Abstract

Hydatidosis is particularly widespread in some geographic areas. Among these Sardinia presents one of the highest incidences. The authors examine the results obtained of 382 patients submitted to surgery between 1973 and 1989. The average age was 38.9 years. Liver involvement was observed in 215 cases, lung involvement in 167 cases, while localizations in other organs were rare. Forty liver cysts and 54 lung cysts were complicated preoperatively. The patients were submitted predominantly to total or subtotal cysto-pericystectomy (270 cases), parenchymal resection (75 cases), simple cystectomy (40 cases). Total postoperative mortality was 2.35%. Postoperative time was significantly shorter after cysto-pericystectomy and after parenchymal resection than after simple cystectomy. Patients suffering from multiple or complicated cysts were given supplementary chemotherapy.

摘要

包虫病在某些地理区域尤为普遍。其中,撒丁岛的发病率最高。作者研究了1973年至1989年间接受手术的382例患者的结果。平均年龄为38.9岁。观察到215例肝脏受累,167例肺部受累,而其他器官受累较少见。40例肝囊肿和54例肺囊肿术前出现并发症。患者主要接受了全囊肿或次全囊肿切除术(270例)、实质切除术(75例)、单纯囊肿切除术(40例)。术后总死亡率为2.35%。囊肿切除术和实质切除术后的术后时间明显短于单纯囊肿切除术后。患有多个或复杂囊肿的患者接受了辅助化疗。

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