南方医科大学学报

南方医科大学学报 ›› 2004, Vol. 24 ›› Issue (11): 1335-1336.

• • 上一篇    

腹腔包虫病术中囊内容物的处理

周智德, 胥全宏, 彭顺舟   

  1. 中国人民解放军陆军第41医院外科, 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:2004-3-29。
    作者简介:周智德(1972- ),男,1995年毕业于第三军医大学,医师,E-mail:Zhidezhou888@hotmail.com

Intraoperative treatment of cyst contents in abdominal echinococcosis

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

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

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摘要： 目的 探讨腹腔包虫病术中囊内容物处理方法。方法 回顾性分析69例腹腔包虫病术中处理囊内容物的临床效果,包括5%甲醛法(33例)和25%氯化钠法(36例)。结果 5%甲醛溶液处理组未见复发,但术后8例并发残腔内肠瘘(24.2%);25%氯化钠溶液处理组术后复发1例(2.8%),无其他并发症。结论 甲醛法易并发残腔内肠瘘,高渗氯化钠法存在复发危险,需加以改进。

Abstract: Objective To study the methods for intraoperative treatment of the cyst contents in patients with abdominal echinococcosis.Methods Sixty-nine cases of abdominal echinococcosis were reviewed for intraoperative disposal of the cyst contents using 5% formaldehyde (group A, 33 cases) or 25% NaCl solution (group B, 36 cases), and the effects and incidence of complications were compared.Results No relapse occurred in 33 cases with 5% formaldehyde treatment of the cyst contents, but postoperative intestinal fistula took place in 8 cases. In 36 cases with 25% NaCl treatment of the cyst contents, relapse occurred in one case postoperatively but no complications were seen in other patients.Conclusion Treatment of the cyst contents with 5% formaldehyde may lead to intestinal fistula, and 25% NaCl solution may give rise to the risk of recurrence, so that both methods need improvement.

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