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肝泡型包虫病的手术治疗进展
Research advances in surgical treatment of hepatic alveolar echinococcosis
文章发布日期:2018年02月07日  来源:  作者:买买提·瓦司力, 吐尔干艾力·阿吉  点击次数:749次  下载次数:146次

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【摘要】:肝泡型包虫病(HAE)是有浸润性生长特点的寄生虫病,主要治疗手段是药物治疗和手术治疗,手术治疗主要分为根治性肝切除术和姑息性手术。根治性肝切除术是首选,姑息性手术主要用于缓解病情及减轻并发症。药物治疗在HAE病情的延缓及控制中也起着重要作用。近几年自体肝移植应用到HAE治疗中,已成为终末期常规手术无法根治的HAE的主要有效疗法。介绍了HAE根治性肝切除术及姑息性手术的适应证及优缺点,总结了多学科协作诊治模式、快速康复外科理念及自体肝移植术在HAE患者治疗中的应用经验,为HAE的治疗提供一定的参考。
【Abstract】:Hepatic alveolar echinococcosis (HAE) is a parasitic disease characterized by invasive growth. Major treatment methods include pharmacotherapy and surgical treatment, and surgical treatment mainly includes radical hepatectomy and palliative surgery. Radical hepatectomy is the first choice, and palliative surgery is mainly used to alleviate disease conditions and complications. Pharmacotherapy also plays an important role in the delay and control of HAE. In recent years, autologous liver transplantation has been used in the treatment of HAE and has become an effective therapy for end-stage HAE patients who cannot be cured by routine surgery. This article introduces the indications and advantages/disadvantages of radical hepatectomy and palliative surgery, as well as the experience in the application of multidisciplinary treatment, the concept of fast-track surgery, and autologous liver transplantation in the treatment of HAE patients, in order to provide a reference for the treatment of HAE.
【关键字】:棘球蚴病, 肝; 外科手术; 综述
【Key words】:echinococcosis, hepatic; surgical procedures, operative; review
【引证本文】:MAIMAITI WSL, TUERGANAILI AJ. Research advances in surgical treatment of hepatic alveolar echinococcosis[J]. J Clin Hepatol, 2018, 34(3): 645-648. (in Chinese)
买买提·瓦司力, 吐尔干艾力·阿吉. 肝泡型包虫病的手术治疗进展[J]. 临床肝胆病杂志, 2018, 34(3): 645-648.

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