中国寄生虫学与寄生虫病杂志 ›› 2012, Vol. 30 ›› Issue (4): 19-329-330.

• 研究简报 • 上一篇    下一篇

儿童肺细粒棘球蚴病胸腔镜下内囊摘除术42例治疗体会

郭睿,马金山,努尔兰   

  1. 新疆维吾尔自治区人民医院胸外科,乌鲁木齐 830001
  • 出版日期:2012-08-30 发布日期:2012-10-26

Treatment of 42 Child Cases of Pulmonary Echinococcosis granulosus by Excision of Internal Cyst through Video-assisted Thoracoscopic Surgery

GUO Rui,MA Jin-shan,NU Er-Lan   

  1. Department of Thoracic Surgery,Xinjiang People Hospital,Urumqi 830001,China
  • Online:2012-08-30 Published:2012-10-26

摘要: 42例肺细粒棘球蚴病患儿胸腔镜下行内囊摘除术治疗,内囊完整摘除者占66.7%(28/42)、内囊穿刺摘除者占33.3%(14/42),术中操作不慎致囊肿破裂者占2.4%(1/42),平均手术时间为(96.70±10.90)min,术中平均出血量为(8.60±1.31)ml,平均住院时间为(10.20±1.10)d、术后并发症发生率为4.8%(2/42),3年远期随访,无复发。儿童肺细粒棘球蚴病胸腔镜下行内囊摘除术具有创伤小、术中出血少和并发症少,以及3年随访无复发等优点。

关键词: 肺细粒棘球蚴病, 胸腔镜, 内囊摘除术, 儿童

Abstract: Among 42 child cases of pulmonary echinococcosis granulosus treated by excision of internal cyst through  video-assisted thoracoscopic surgery (VATS), the cysts were completely removed in 28 cases (66.7%), cysts in 14 cases (33.3%) were removed by puncture, and cyst ruptured accidentally during operation in 1 cases (2.4%). The mean operation time was (96.70±10.90) min, mean volume of blood loss during operation was (8.60±1.31) ml, and the average admission in hospital was (10.20±1.10) d, with post-operation complications in 2 cases (4.8%). Three years' follow-up revealed no recurrence. The VATS is a way for treating pulmonary echinococcosis granulosus in children with light trauma, less bleeding and fewer complications.

Key words: Pulmonary echinococcosis granulosus, Video-assisted thoracoscopic surgery, Excision of internal cyst, Child