腹腔镜肝切除术对于治疗肝多房棘球蚴病的临床进展

Clinical Progress of Laparoscopic Hepatectomy in the Treatment of Hepatic Multilocular Hydatid Disease

摘要: 包虫病是一种由棘球蚴幼虫引起的人畜共患病。我国西部地区是该疾病的高发区。人类是中间宿主，通常通过与狗直接接触或通过受污染的食物间接感染。该疾病早期一般没有特征性临床表现，可以通过超声及CT等成像技术诊断。包虫囊肿的生长可能导致并发症。胆管与囊肿之间的形成瘘管是常见的并发症。肝包虫病的治疗主要目标是杀灭肝内寄生的绦虫，通过药物治疗或手术切除，防止虫子繁殖和扩散。同时也需要控制炎症反应和保护肝功能。目前主要有3种治疗方法：手术治疗，药物治疗和介入治疗。其中手术治疗为主要治疗方式。本文通过查阅国内外相关文献，阐述了腹腔镜技术在治疗肝泡型包虫病中的应用。

Abstract: Hydatidosis is a zoonosis caused by hydatid larvae. The western region of China is a high incidence area of the disease. Man is an intermediate host, usually contacted directly with a dog or indirectly infected via contaminated food. This disease has no common clinical manifestation at the beginning, and can be diagnosed by imaging techniques such as ultrasound and CT. The growth of hydatid cysts may lead to complications. The formation of fistula between bile duct and cyst is a common compli-cation. The main goal of the treatment of liver hydatid disease is to kill the parasitic tapeworm in the liver, and prevent the worm from breeding and spreading through drug treatment or surgical resection. At the same time, it is also necessary to control inflammatory reaction and protect liver function. At present, there are three main treatment methods: surgical treatment, drug treatment and interventional treatment. Surgical treatment is the main treatment. This paper describes the application of laparoscopy for the treatment of hepatic foamy ratchet with reference to domestic and overseas related literature.