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建国以来,我国的丝虫病防治工作取得了很大的成绩,有力地保护了流行区人民的健康。迄1987年底,全国864个流行县(市)中,已有781个(90.4％)达到基本消灭丝虫病的标准。但是,由于缺乏有效且易于推广的治疗方法,尚未治愈的各类晚期丝虫病人仍为数不少。晚期丝虫病的主要临床表现有淋巴水肿和象皮肿(四肢和阴囊等部位)、鞘膜积液及乳糜尿。治疗鞘膜积液一般采用鞘膜翻转手术,方法简便,效果满意,可在乡级医院进行。阴囊象皮肿采用手术整复的效果也很可靠。治疗下肢象皮肿和乳糜尿的方法尚在继续探索中,并已积累了不少经验。近年来,国内显微外科及其临床应用的研究已获相当进展,为探索治疗下肢象皮肿和乳糜尿的有效方法开辟了新途径。为此,本刊约请有关专家撰稿,重点介绍近年来在晚期丝虫病下肢象皮肿和乳糜尿的治疗研究方面取得的进展和经验。供参考。
Since the founding of the People’s Republic of China, great achievements have been made in the prevention and control of filariasis in our country, which have effectively protected the health of people in endemic areas. As of the end of 1987, 781 (90.4%) of the 864 endemic counties (cities) in the country have basically met the criteria of eradicating filariasis. However, due to the lack of effective and easy to popularize treatment methods, there are still a large number of patients with all kinds of advanced filariasis that have not yet been cured. The main clinical manifestations of advanced filariasis lymphedema and edema (limbs and scrotum and other parts), hydrocele and chyluria. Treatment of hydrocele commonly used flip surgery, the method is simple, satisfactory results, at the township hospitals. Scrotal elephant tumescent surgery using the effect of restoration is also very reliable. Methods of treating lower extremity elevations and chyluria are still under exploration and have accumulated a great deal of experience. In recent years, the domestic research on microsurgery and its clinical application has made considerable progress, which opens up new ways for exploring effective methods for treating lower extremity elephantiasis and chyluria. To this end, this journal invites experts contributed articles, focusing on recent years in the late filariasis lower extremity edema and chyluria treatment research progress and experience. for reference.