Evaluation of the efficacy of two different surgical methods in hepatic cystic echinococcosis / 中国医师进修杂志

ABSTRACT

Objective To analyze the clinical efficacy of two different surgical methods in hepatic cystic echinococcosis,and select the better surgical method in curative effect.Methods The clinical data of 120 patients with hepatic cystic echinococcosis were retrospectively analyzed.The patients were divided into outer membrane integrity external capsule excision group and internal capsule excision + external capsule cavity group according to the surgical method with 60 cases each.The operation time,bleeding during operation,hospitalization time,intubation time,complication and recurrence were compared between the 2 groups.Results There was no statistical difference in bleeding during operation between the 2 groups (P＞ 0.05).The operation time in internal capsule excision + external capsule cavity group was shorter than that in outer membrane integrity external capsule excision group [(60.09 ± 9.50) min vs.(110.20 ± 18.50) min],the hospitalization time and intubation time in internal capsule excision + external capsule cavity group were longer than those in outer membrane integrity external capsule excision group [(11.65 ± 3.50) d vs.(7.55 ±1.50) d,(2.55 ± 0.55) months vs.(0.20 ± 0.05) months],there were statistical differences (P ＜ 0.05).The rate of complication and rate of recurrence in internal capsule excision + external capsule cavity group were higher than those in outer membrane integrity external capsule excision group [28.3％ (17/60) vs.3.3％(2/60),25.0％(15/60) vs.1.7％(1/60)],there were statistical differences (P ＜ 0.05).Conclusion The curative effect of outer membrane integrity external capsule excision is better than internal capsule excision + external capsule cavity,and outer membrane integrity external capsule excision is the preferred surgical methods of hepatic cystic echinococcosis.