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肝包虫病是全球性的寄生虫疾病,它主要流行于地中海、亚洲、南非及澳大利亚等地。棘球蚴包囊含有清亮囊液及子包囊。手术切除时会引起包囊液溢出于腹腔,进而引起对包囊的过敏性休克反应及存活头节在腹腔内扩散复发。因此,彻底切除包囊前在囊内注入杀虫液及吸净囊液是有必要的。为此,我们设计使用一次住10mm粗的腹腔镜套针及在囊内注入有杀囊作用的高渗盐水并吸取囊液。 技术操作 首先在切口及囊周区用泡过10％高渗盐水的填塞物包裹好。通过腹腔镜置入10mm粗的一次性腹腔镜套针至包囊内,再经套针活瓣导入大号吸管以吸取囊液,其后从套针的侧活塞用吹入法灌入高渗盐水,并让它在囊内留置10～20分钟。这样反复吸取和灌洗数次,直到囊内液体及子包囊尽可能被吸净,在退出套针前还需反复灌吸数次。
Hydrostatic liver disease is a global parasitic disease, it is mainly popular in the Mediterranean, Asia, South Africa and Australia. Echinococcosis cysts contain clear cyst fluid and sub-cysts. Surgical removal of cyst fluid can cause overflow in the abdominal cavity, causing anaphylactic shock on the cystic capsule and survival of the first section in the abdominal cavity proliferation recurrence. Therefore, the complete removal of cysts in the cyst before injection of insecticide and net absorption of cyst fluid is necessary. For this purpose, we designed a laparoscopic trocar with a 10 mm diameter and a cyst fluid filled with cystic hypertonic saline and pouch fluid. Technical operation First of all incision and periocular area with foam over 10% hypertonic saline packing wrapped. Through the laparoscopic 10mm thick disposable laparoscopic trocar into the cyst, and then through the trocar valve into the large straw to suck the cyst fluid, then the trocar side of the piston by injection into the hypertonic Brine and leave it in the capsule for 10 to 20 minutes. This repeated suction and lavage several times until the intracapsular fluid and sub-cysts as much as possible net absorption, trocar need to be repeated before the number of repeated perfusion.