Aliev M A, Mamedov M M, Seĭsembaev M A, Madzhuga V P
Khirurgiia (Mosk). 1990 Jan(1):46-8.
The article discusses experience in the use of high-energy CO2 laser in the treatment of 108 patients with complicated forms of echinococcosis of the liver. The diagnostic efficacy of instrumental methods of examination is determined. The most informative are ultrasonic echolocation (96.8%) and computered tomography (100%). They allow exact localization of the cyst, which is important in the choice of the operative approach. The use of the laser for excising the fibrous capsule and treating the residual cavity makes is possible to: abandon the traditional methods for completing echinococcectomy (drainage of the residual cavity, marsupialization, capitonnage), exclude suppuration of the residual cavity, reduce markedly the period of the patient's hospitalization.
本文讨论了使用高能二氧化碳激光治疗108例复杂型肝包虫病患者的经验。确定了检查手段的诊断效果。最具信息量的是超声定位(96.8%)和计算机断层扫描(100%)。它们能够精确确定囊肿的位置,这对选择手术入路很重要。使用激光切除纤维囊并处理残留腔使得能够:摒弃完成肝包虫囊肿切除术的传统方法(残留腔引流、袋形缝术、缝合),排除残留腔化脓,显著缩短患者住院时间。