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目的探讨多学科综合治疗晚期血吸虫病的疗效。方法选择2010年1月至2011年12月接受多学科综合治疗的173例晚期血吸虫病患者(其中巨脾型患者75例,腹水型患者98例)和2007年1月至2009年12月接受单学科治疗的晚期血吸虫病患者193例(其中巨脾型84例,腹水型109例)为研究对象,比较不同治疗模式的临床疗效。结果与单学科治疗相比,多学科综合治疗巨脾型晚期血吸虫病的术前准备时间、住院时间缩短(P<0.01),手术时间缩短、术后并发症减少、住院费用降低(P<0.05),病人投诉下降(P>0.05);治疗腹水型晚期血吸虫病的治疗前时间、腹水消失时间缩短(P<0.01),住院时间缩短、治疗后并发症减少、住院费用降低、病人投诉下降(P<0.05)。结论多学科综合治疗晚期血吸虫病能提高疗效,减少并发症,并改善患者的生活质量。
Objective To investigate the efficacy of multidisciplinary comprehensive treatment of advanced schistosomiasis. Methods From January 2010 to December 2011, 173 patients with advanced schistosomiasis (including 75 splenomegaly patients and 98 ascites patients) receiving multidisciplinary comprehensive treatment were enrolled in this study. A total of 173 patients with advanced schistosomiasis from January 2007 to December 2009 were enrolled Subjects treated in advanced schistosomiasis in 193 cases (including splenomegaly 84 cases, ascites 109 cases) as the object of study to compare the clinical efficacy of different treatment patterns. Results Compared with single-disciplinary treatment, preoperative preparation time and hospitalization time of short splenosis-type schistosomiasis in multi-disciplinary treatment were shortened (P <0.01), operation time shortened, postoperative complications decreased and hospitalization costs decreased (P <0.05 ), Patients complained of decreased (P> 0.05); treatment of advanced ascites type of advanced schistosomiasis treatment time, disappearance of ascites time (P <0.01), hospitalization time shortened, postoperative complications decreased, hospitalization costs decreased, patient complaints decreased P <0.05). Conclusion Multidisciplinary comprehensive treatment of advanced schistosomiasis can improve efficacy, reduce complications, and improve the quality of life of patients.