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[肝包虫病的外科手术]

[The surgical procedure in hepatic echinococcosis].

作者信息

Karimov Sh I, Nishanov Kh T, Badshakhzar A

出版信息

Vestn Khir Im I I Grek. 1992 Nov-Dec;149(11-12):308-13.

PMID:8594786
Abstract

Results of operations on 252 patients with echinococcosis of the liver are analyzed. Closed hydatidectomy was performed in 166 (65.87%) patients, semi-closed one--in 14 (5.56%), pericystectomy--in 16 (6.35%), ideal hydatidectomy--in 12 (4.76%), resection of the liver with removal of the echinococcus cyst--in 9 (3.5%) and percutaneous transhepatic drainage of the cyst--in 7 (2.78%) patients. Postoperative complications were noted in 25 patients; suppurations of the residual cavity--in 17 patients; external bile fistulas--in 5 patients; subdiaphragmatic abscess--in 2, reactive pleurisy--in 1 patient. The least amount of complications followed closed hydatidectomy in 4 patients (2.44%).

摘要

分析了252例肝包虫病患者的手术结果。166例(65.87%)患者进行了闭合性包虫切除术,14例(5.56%)进行了半闭合性手术,16例(6.35%)进行了包囊切除术,12例(4.76%)进行了理想的包虫切除术,9例(3.5%)进行了肝切除并摘除包虫囊肿,7例(2.78%)患者进行了经皮肝穿刺囊肿引流术。25例患者出现术后并发症;17例患者残腔化脓;5例患者出现外胆瘘;2例患者发生膈下脓肿;1例患者出现反应性胸膜炎。闭合性包虫切除术后并发症最少,有4例(2.44%)。

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