关键词: 肝泡型包虫病, Child-Pugh分级, 手术方式, 根治性手术, 并发症

Abstract: Study on the relationship between postoperative complications of hepatic alveolar echinococcosis and Child-Pugh grading or surgical  methods        Ajide, CHAI Jin-ping, WANG Hao, et al. Department of General Surgery, Qinghai Provincial People's Hospital, Xining 810000, China
Corresponding author: ZHAO Shun-yun, E-mail：zhaoshunyun002@163.com
Abstract    Objective    To investigate the relationship between complications of hepatic alveolar echinococcosis and surgical methods or Child-Pugh classification. Methods    A total of 104 patients with hepatic alveolar echinococcosis who underwent operation in Hydatid Disease Diagnosis and Treatment Center, Qinghai Provincal People's Hospital from December 2016 to December 2018 were analyzed retrospectively. According to Child-Pugh classification criteria, the patients were divided into two groups: A grade group (73 patients) and B grade group (31 patients). However, the patients were also divided into two groups according to surgical methods: radical surgery operation group (52 cases) and quasi-radical surgery operation group (52 cases). Objective clinical indicators and postoperative complications were observed respectively among the above groups. Results    The incidence of incision infection  refractory ascites and abdominal infection in B grade group was significantly higher than that of A grade group at admission (P<0.05), and there was a significant difference in mortality between the two groups at one year after operation (P<0.05). The incidence of complications such as refractory ascites, hepatic insufficiency, liver failure, jaundice, abdominal infection and abdominal abscess in the radical operation group was significantly lower than quasi-radical operation group (P<0.05), and there was no significant difference in mortality between the two groups at 1 year after operation (P>0.05). Conclusion    After radical hepatectomy, the incidence of postoperative complications in patients with hepatic alveolar echinococcosis is lower than that of quasi-radical hepatectomy. The incidence of postoperative complications in children-pugh grade B patients is significantly higher than that in children-pugh grade A group.

Key words: hepatic alveolar echinococcosis, Child-Pugh classification, surgical method; , radical surgery; , complication