关键词: 肝包虫病, 根治手术, 藏族地区

Abstract: Objective To summarize the clinical data of hepatic echinococcosis treated by radical operation, and to provide the corresponding clinical data for improving the treatment level of hepatic echinococcosis. Methods The preoperative, intraoperative and postoperative clinical data of 80 patients with hepatic echinococcosis undergoing radical surgery in Tibetan area from 2016 to 2019 were comprehensively analyzed, and the relevant surgical methods and therapeutic effects were discussed. Results 80 patients were treated with radical operation in our hospital, and good results were obtained. There were 78 cases with preoperative liver function rating of Grade A, accounting for 97.5%, and 2 cases with grade B, accounting for 2.5%. There were 62 cases with the number of lesions ≤ 3, accounting for 77.5%, and 18 cases with multiple lesions, accounting for 22.5%. The incidence of bile duct invasion, vascular invasion, extrahepatic involvement and other organs were 2.5%, 18.75%, 26.25% and 11.25%, respectively. The average operative time was 343 min, the average intraoperative blood loss was 390 ml, the average drainage time was 7.9 d, and the average hospital stay was 27.5 d. The recurrence rate of complications was 21.25%, mainly fat liquefaction (14 cases) and bile leakage (3 cases), which were properly treated in the later stage. Conclusion The radical operation of liver echinococcosis has achieved good clinical effect.

Key words: Echinococcosis, Radical operation