南方医科大学学报

南方医科大学学报 ›› 2004, Vol. 24 ›› Issue (11): 1333-1334.

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囊腔穿刺引流术治疗腹腔包虫病40例报告

彭顺舟, 胥全宏, 周智德   

  1. 中国人民解放军陆军第41医院普外科, 西藏, 山南, 856100
  • 出版日期:2004-11-20 发布日期:2004-11-20
  • 基金资助:
    收稿日期:2004-5-17。
    作者简介:彭顺舟(1958- ),男,1984年毕业于华西医科大学,本科,主任医师,院长,E-mail:Pengsz@hotmail.com

Cyst puncture aspiration in 40 cases of abdominal echinococcosis

PENG Shun-zhou, XU Qun-hong, ZHOU Zhi-de   

  1. 中国人民解放军陆军第41医院普外科, 西藏, 山南, 856100
  • Online:2004-11-20 Published:2004-11-20

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摘要： 目的 评价“囊腔穿刺引流”术治疗腹腔包虫病的疗效。方法 回顾性分析我院40例与腹壁发生致密粘连的孤立性、单房型腹腔包虫囊肿,在体外超声引导及局麻下行“囊腔穿刺引流”术的效果。结果 本组手术无死亡。仅有15例(37.5%)患者出现低热,术后使用抗生素天数、黄疸消退天数、胆汁分泌天数、拔管天数及住院日分别为(2.88±0.65)、(3.50±0.71)、(4.25±0.96)、(5.38±0.98)、(9.35±1.08)d;术后超声随访均未发现复发,提示残腔粘连关闭及开始钙化的时间分别为(4.50±1.13)、(13.90±2.38)m。结论 体外超声引导下行“囊腔穿刺引流”术式适用于与腹壁发生致密粘连的孤立性、单房型腹腔包虫囊肿的治疗。

Abstract: Objective To evaluate the efficacy of cyst puncture aspiration in treating abdominal echinococcosis.Methods A retrospective analysis was performed in 40 cases of abdominal echinococcosis with formation of isolated single cyst in close adhesion with the abdominal wall, for which cyst puncture aspiration was carried out under ultrasound guidance.Results No death occurred in these patients and only 15 developed mild fever. The days for antibiotic use, jaundice resolution, bile secretion, time of extubation and hospital stay were 2.88±0.65, 3.50±0.71, 4.25±0.96, 5.38±0.98 and 9.35±1.08 days, respectively. Ultrasound examination in the follow-up showed no relapse in these patients, with the time of the residue adhesive cyst closure and calcification of 4.50±1.13 and 13.90±2.38 months, respectively.Conclusion Cyst puncture aspiration under ultrasound guidance produces good therapeutic effects on abdominal echinococcosis with isolated single cyst closely adhering to the abdominal wall.

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