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肝包虫囊肿并发支气管胆瘘的诊断 被引量:2

The diagnosis and treatment in compicating broncho-biliary fistula of liver hydated cyst
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摘要 我院1974~1991年共收治肝包虫病573例,其中并发肝支气管胆瘘者18例(3.2%)。18例中12例经腹行肝包虫囊肿清理与插管引流;4例经胸行囊肿与肺脓肿清理引流及膈肌封闭术;2例经胸腹联合切口行肝包虫与肺包虫囊肿清除引流及膈肌封闭术。术后18例均获治愈。讨论认为:肝包虫囊肿的部位为造成本并发症的首要条件。本组18例均为肝顶部包虫囊肿破裂所致,占我院全部肝顶部包虫囊肿(121例)的14.9%。 Abstract A total of 573 patients with hydatid disease of liver were admitted and treated in our hospital from 1974 to 1991 with complicating broncho-biliary fistula in 18 cases (3.2%) .The treatment regimen xvere cleaning of the cyst and abscess through abdomen and drainage by tube instillation in 12 cases, removing both hepatic and pulmonary bydatid cyst through an thoracico-abdominal incision and drainage, plus repairing diaphragmatic muscle and all patients were cured. The exclustve location of the hydatid cyst on the dome above liver and its rapture accounted for this complication which made up 14.9% of the total cysts (121 cases) in that type.
出处 《普外临床》 CSCD 1994年第1期53-55,共3页
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