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目的 减少或消灭肝包虫病术后复发及术后残腔积液等并发症。方法 8年间手术治疗的 32 0例肝包虫中筛选出 2 8例复发性肝包虫及术后残腔积液者 ,采用纤维胃镜探查、带蒂大网膜移植充填外囊腔、经皮肝穿刺抽液注入硬化剂 ,手术前后服抗包虫病药等综合性方法治疗。结果 本组 2 8例病人中未见包虫复发及残腔积液 ,治愈率达 10 0 %。结论 上述 3种方法对肝包虫病的“非接触手术技术”(untouchable technique)具有明显的治疗价值
Objective To reduce or eliminate the recurrence of postoperative liver hydatid disease and postoperative residual fluid and other complications. Methods Twenty-eight cases of recurrent liver hydatid and postoperative residual fluid were selected from 32 cases of hepatic hydatid disease who underwent surgery in 8 years. Fiber endoscopy and pedicled omentum were used to fill the outer capsule. Percutaneous Liver puncture fluid injection sclerosing agent, anti-echinococcosis before and after surgery and other comprehensive treatment. Results In this group of 28 patients no hydatid disease recurrence and residual effusion, the cure rate of 10%. Conclusions The above three methods have significant therapeutic value on “untouchable technique” of hepatic hydatid disease