Ayifuhan Ahan, Tuerganaili Aji, Jun Cao, Ying-Mei Shao, Xiang-Wei Liu, Hao Wen
Department of Digestive abnd Vascular Surgery, Xinjiang Medical University, Urumqi, China.
Hepatogastroenterology. 2012 May;59(115):790-3. doi: 10.5754/hge10545.
BACKGROUND/AIMS: The purpose of this study is to present the surgical treatment of hepatic alveolar echinococcosis and evaluate the treatment outcomes.
A retrospective analysis was made on 50 patients admitted between 2000 and 2008. All the patients were divided into two groups, 26 patients for the radical surgery group and 24 for the palliative surgery group.
In the palliative surgery group, 10 patients died during the follow-up period, 2 patients presented with brain metastasis and 4 patients with lung metastasis, 1 patient had multiple lesions in the liver, 1 patient who received left hepatectomy had a new lesion in caudate lobe of the liver, 4 patients had postoperative jaundice, 3 had cholangitis and 4 patients had biliary leaks. There were also 3 patients lost in the follow-up period. In the radical surgery group, 22 patients were alive and asymptomatic without recurrence during the follow-up period, 3 patients had recurrent cholangitis and 4 patients had biliary leaks. Three patients were lost during the followup period in this group.
Radical resection appears to be best treatment of hepatic alveolar echinococcosis and palliative operation may cause a series of severe complications leading to death.
背景/目的：本研究旨在介绍肝泡型包虫病的外科治疗方法并评估治疗效果。
对2000年至2008年收治的50例患者进行回顾性分析。所有患者分为两组，根治性手术组26例，姑息性手术组24例。
在姑息性手术组中，10例患者在随访期间死亡，2例出现脑转移，4例出现肺转移，1例肝脏有多处病灶，1例行左肝切除的患者尾状叶出现新病灶，4例患者术后出现黄疸，3例发生胆管炎，4例出现胆漏。随访期间还有3例患者失访。在根治性手术组中，22例患者在随访期间存活且无症状，无复发，3例患者出现复发性胆管炎，4例出现胆漏。该组随访期间有3例患者失访。
根治性切除似乎是肝泡型包虫病的最佳治疗方法，而姑息性手术可能会导致一系列严重并发症甚至死亡。
