摘要
目的 严重多囊肝外科处理上较困难 ,治疗后症状再发率较高 ,本文探讨目的为提高对严重多囊肝的处理水平。方法 对 2 2例获随访的严重多囊肝病例按治疗方法不同 ,对疗效进行分析 ,讨论了治疗方法的选择与疗效的关系。结果 肝部分切除加开窗术、剖腹肝囊肿开窗术、B超下穿刺治疗及腹腔镜肝囊肿开窗术在术后 0 5～ 7年 (平均 3年 )内症状再发 ,再发率分别为 0 ,2 8.5 % ,6 5 .5 %及 10 0 %。结论 肝部分切除加开窗术是治疗严重肝囊肿的有效方法 ;B超下穿刺治疗更适合作为手术前后暂时缓解症状的辅助手段 ;
Objective To evaluate the effects of different surgical treatments on severe polycystic liver disease (SPLD). Methods A total of 22 patients with SPLD were surgically treated in our Department from December 1989 to July 1999. Of the patients, 5 were treated with the partial hepatic resection in combination with cyst fenestration (group A), 7 with laparotomic fenestration (group B), 4 with laparoscopic fenestration (group C) and 6 with puncture under the guidance of ultrasonography B (group D). The surgical outcome and long term follow up results were retrospectively analyzed. Results After the treatments, all the patients experienced immediate relief of symptoms. However, the follow up for an average of 3 years showed that 10 patients developed recurrence of the disease. The recurring rates were 0, 28.5%, 65.5% and 100% in groups A, B, C and D, respectively. Conclusions The approach of partial hepatic resection in combination with cyst fenestration is the most effective treatment for SPLD. Laparoscopic fenestration may not be an appropriate surgical way for treatment of SPLD.
出处
《中华肝胆外科杂志》
CAS
CSCD
2000年第6期418-420,共3页
Chinese Journal of Hepatobiliary Surgery
关键词
严重多囊肝
肝切除术
囊肿开窗术
SPLD
Severe polycystic liver disease (SPLD)
Liver resection
Fenestration
