肾包虫完整外囊摘除7例报告

摘要

目的 探讨肾包虫完整外囊摘除术手术技术及治疗肾包虫的疗效.方法 采用回顾性分析方法,收集2007年3月至2015年12月在新疆医科大学第一附属医院泌尿外科进行的7例肾包虫完整外囊摘除术患者的临床资料,总结手术过程,术后病理结果及疗效.结果 手术中可见肾实质与包虫外囊之间存在一个可分离的间隙,沿此间隙可将肾包虫外囊完整剥除.包虫完整剥离后的肾创面光滑,无大量渗血,包虫外囊完整,壁光滑,病理学检查结果证实外囊壁外附着纤维胶原组织,少量肾实质成分.7例手术均获成功,未发生外囊破裂囊液溢出,随访1～ 36个月,无复发及残腔形成等手术并发症.结论 肾包虫完整外囊摘除术具有彻底切除包虫病灶并最大限度地保留肾实质的优点,疗效确切.%Objective To investigate the surgical technique and the curative effect of the intact ectocystectomy for renal hydatid cyst.Method Totally 7 cases of renal echinococcosis patients treated by the intact ectocystectomy of renal hydatid complete at Urology,the First Affiliated Hospital of Xinjiang Medical University from Mar 2007 to Dec 2015 were analyzed by retrospective analysis,the surgical procedure,postoperative pathologic results and efficacy were summarized.Results Visible in the operation of renal parenchyma and hydatid cysts,along a detachable gap between the gaps,renal hydatid capsule could be completely removed.The renal wound was smooth grossly,without much blood,hydatid ectocyst was removed completely,with smooth wall,pathology inspection for the attached results confirmed the capsule wall collagen fiber tissue,a small amount of renal parenchyma.Totally 7 cases of surgical success,with no liquid capsule rupture overflow,and they were followed up for 1-36 months,no recurrence and residual cavity formation and other complications occurred.Conclusion The results have indicated that the intact ectocystectomy is a radical therapy for renal echinococcosis and retain renal parenchyma.