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目的 分析两种术式治疗肝囊型包虫病的临床疗效,优选出疗效较好的手术方式.方法 回顾性分析收治的采用外膜内完整外囊摘除术(外膜内完整外囊摘除术组,60例)、内囊摘除术+外囊残腔引流术(内囊摘除术+外囊残腔引流术组,60例)治疗的肝囊型包虫病患者的临床资料,比较两组手术时间、术中出血量、住院时间、带管时间、并发症及复发等.结果 两组术中出血量比较差异无统计学意义(P＞0.05);内囊摘除术+外囊残腔引流术组手术时间短于外膜内完整外囊摘除术组[(60.09±9.50) min比(110.20±18.50) min],住院时间和带管时间均明显长于外膜内完整外囊摘除术组[(11.65±3.50)d比(7.55±1.50)d、(2.55±0.55)个月比(0.20±0.05)个月],差异均有统计学意义(P＜0.05).内囊摘除术+外囊残腔引流术组术后并发症发生率和复发率均明显高于外膜内完整外囊摘除术组[28.3％(17/60)比3.3％(2/60)、25.0％(15/60)比1.7％ (1/60)],差异均有统计学意义(P＜0.05).结论 两种外科手术治疗中,外膜内完整外囊摘除术综合治疗效果优于内囊摘除术+外囊残腔引流术,是肝囊型包虫病优先考虑的手术方案.“,”Objective To analyze the clinical efficacy of two different surgical methods in hepatic cystic echinococcosis,and select the better surgical method in curative effect.Methods The clinical data of 120 patients with hepatic cystic echinococcosis were retrospectively analyzed.The patients were divided into outer membrane integrity external capsule excision group and internal capsule excision + external capsule cavity group according to the surgical method with 60 cases each.The operation time,bleeding during operation,hospitalization time,intubation time,complication and recurrence were compared between the 2 groups.Results There was no statistical difference in bleeding during operation between the 2 groups (P＞ 0.05).The operation time in internal capsule excision + external capsule cavity group was shorter than that in outer membrane integrity external capsule excision group [(60.09 ± 9.50) min vs.(110.20 ± 18.50) min],the hospitalization time and intubation time in internal capsule excision + external capsule cavity group were longer than those in outer membrane integrity external capsule excision group [(11.65 ± 3.50) d vs.(7.55 ±1.50) d,(2.55 ± 0.55) months vs.(0.20 ± 0.05) months],there were statistical differences (P ＜ 0.05).The rate of complication and rate of recurrence in internal capsule excision + external capsule cavity group were higher than those in outer membrane integrity external capsule excision group [28.3％ (17/60) vs.3.3％(2/60),25.0％(15/60) vs.1.7％(1/60)],there were statistical differences (P ＜ 0.05).Conclusion The curative effect of outer membrane integrity external capsule excision is better than internal capsule excision + external capsule cavity,and outer membrane integrity external capsule excision is the preferred surgical methods of hepatic cystic echinococcosis.