摘要
肝泡型棘球蚴病被称为“寄生虫癌”,经常浸润肝后下腔静脉和主要肝内结构,使根治性手术变得危险,根治性切除联合阿苯达唑被认为是治疗的最佳选择,然而,由于存在空气栓塞或不受控制的出血风险,肝静脉与下腔静脉汇合或下腔静脉受累长期被认为是肝脏手术的禁忌证。近几年随着医学技术以及肝移植技术的发展,对于伴有下腔静脉浸润的终末期肝泡型棘球病可进行血管重建得到根治。本文通过对病灶侵犯肝后下腔静脉的临床表现、辅助检查及治疗方案进行简述,为肝泡型棘球蚴病侵犯肝后下腔静脉手术治疗提供参考。
Hepatic alveolar echinococcosis,known as“parasitic cancer”,often infiltrates the posterior inferior vena cava and major intrahepatic structures,making radical surgery dangerous.Radical excision in combination with albendazole is considered the best treatment option,however,due to the risk of air embolism or uncontrolled bleeding,Confluence of the hepatic vein with the inferior vena cava or involvement of the inferior vena cava has long been considered contraindications in liver surgery.With the development of medical technology and liver transplantation in recent years,vascular reconstruction can be used to cure end-stage hepatic vesicular acanthococcosis with inferior vena cava infiltration.In this paper,the clinical manifestations,auxiliary examination and treatment plan of the lesions invading the posterior inferior vena cava of the liver were summarized,so as to provide reference for the surgical treatment of hepatic alveolar echinococcosis invading the posterior inferior vena cava of the liver.
作者
白天根
宋铭杰
温浩
Bai Tiangen;Song Mingjie;Wen Hao(Department of Hepatobiliary Echinococcosis,Department of Gastrointestinal Vascular Surgery,First Affiliated Hospital of Xinjiang Medical University,Urumqi Xinjiang Uygur Autonomous Region 830054,China)
出处
《中华普外科手术学杂志（电子版）》
2023年第3期343-346,共4页
Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)
基金
省部共建中亚高发病成因与防治国家重点实验室开放课题(SKL-HIDCA-2020-B)
新疆维吾尔自治区高校科研计划项目(XJEDU20211016)。
关键词
棘球蚴病
肝
腔静脉
下
诊断
治疗
Echinococcosis,hepatic
Vena cava,inferior
Diagnosis
Treatment
