首页> 中文期刊> 《实用医学杂志 》 >493例包虫病手术病例的临床特征及疾病转归分析

493例包虫病手术病例的临床特征及疾病转归分析

             

摘要

Objective To investigate the demographical data,clinical data and outcomes of patients with Hydatid disease. Methods The data of 493 Hydatid disease patients collected from January 2013 to June 2017 in Qinghai Province were treated with the Epi Data 3.02 to record the data in duplicate and establish Hydatid disease database,which was then analyzed with SPSS 17.0 for statistical analysis.Results There were 409 cases of Cystic Echinococcosis and 84 cases of Bursal Echinococcosis. The male patients accounted for 42%,and the female for 58%.The curative rate of CE2 and CE4 patients was higher than that of patients with CE1,CE3 and CE5,with sig-nificant differences(χ2=3.502,Р=0.835).The cure rate of patients with cystic echinococcosis was significantly higher than that of Bursa edulis(χ2=30.275,Р=<0.01).The difference was statistically significant in view of the affected position(χ2= 17.521,Р = 0.020). In view of Child-Pugh classification and immunological examination on the outcome of the disease,the difference was statistically significant(χ2= 17.521,Р = 0.020;χ2= 15.731,Р < 0.022). In view of the operation method,the different was statistically significant(χ2= 57.389,Р < 0.01). Conclusion The data of Hydatid disease patients in Qinghai province were establisheded,which provides scientif-ic and detailed and clinical data on Hydatid disease.%目的 调查包虫病住院手术治疗患者的基本信息、临床资料及疾病转归情况.方法 收集整理2013年1月至2017年6月年青海省包虫病手术患者病例资料493例,采用Epi Data 3.02进行数据双录入,建立"青海省包虫病住院手术病例回顾调查数据库",应用SPSS 17. 0对数据进行统计分析.结果 囊型包虫病患者409例,泡型包虫病患者84例;男性包虫病患者占42.0%,女性包虫病患者占58.0%;囊型包虫病病理分型为CE2和CE4的患者治愈率高于病理分型为CE1、CE3、CE5的患者,差异有统计学意义(χ2=19.165,Р=0.007),囊型包虫病患者的治愈率明显高于泡型包虫病患者,差异有统计学意义(χ2=30.275,Р<0.01);患者的囊肿部位对疾病转归的影响差异有统计学意义(χ2=17.521,Р=0.020);患者的肝功能Child-Pugh分级、免疫学检查对疾病转归的影响差异有统计学意义(χ2= 15.731,Р = 0.022;χ2=29.573,Р<0.01);手术方式对疾病转归的影响差异有统计学意义(χ2=57.389,Р<0.01).结论 完善了青海省包虫病住院手术病例的资料信息,为全省开展包虫病手术治疗及手术疗效提供科学详实的基础及临床资料.

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