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目的:比较肝泡状棘球蚴病(HAE)不同手术方式的疗效,并分析影响HAE手术患者预后的相关因素。方法:回顾性分析2003年9月-2015年2月期间在我院进行手术治疗的HAE病人的诊疗记录。根据手术方式的不同,将病人分为非移植性根治性切除组(A组)、术中病灶绝大部分切除(90%以上)组(B组)、术中不能90%以上切除或仅引流组(C组)、肝移植组(D组)。结合随访资料,评价四组的疗效,并分析影响患者预后的相关因素。结果:A组死亡率低于其他三组,差异具有统计学意义(P<0.001)。生存曲线结果显示,A组预后生存状况优于其他三组,差异具有统计学意义(P=0.001)。多因素分析结果表明,非移植性根治性切除、术中出血量是影响患者生存的独立危险因素(均P<0.05)。结论:在早期发现早期诊断的前提下,对HAE病人行非移植性根治性切除术治疗效果最好,且非移植性根治性切除是患者预后的独立危险因素。
Objective: To compare the curative effects of different surgical methods on hepatic alveolar hydatidosis (HAE) and analyze the related factors that affect the prognosis of patients with HAE. Methods: The clinical records of HAE patients undergoing surgery in our hospital from September 2003 to February 2015 were retrospectively analyzed. According to the different surgical methods, the patients were divided into non-transplanted radical resection group (A group), the majority of resection (90%) group (B group), intraoperative can not be more than 90% resection or drainage Group (group C), liver transplantation group (group D). Combined with follow-up data, evaluate the efficacy of the four groups, and analyze the factors that affect the prognosis of patients. Results: The death rate of group A was lower than the other three groups, the difference was statistically significant (P <0.001). The survival curve results showed that the prognosis of group A was better than the other three groups, the difference was statistically significant (P = 0.001). Multivariate analysis showed that non-transplanted radical resection and intraoperative blood loss were independent risk factors affecting the survival of patients (all P <0.05). Conclusion: In the early detection of early detection under the premise of HAE patients underwent non-transplant radical resection is the best, and non-transplant radical resection is an independent prognostic risk factors.