Summary Of Clinical Experience In Treating Children With Hepatic Hydatid Disease In Affiliated Hospital Of Qinghai University

Objective: To summarize the characteristics of children hydatid disease(HCA and HCE),and to analyze the clinical experience of different surgical t reatment methods.Methods: 1.The research object from Qinghai University Af filiated hospital,adopts the retrospective research method,collects the child w ho is younger than 14 years old(including 14 years old),there were 25 case s of children with HAE from January 1,2015 to January 31,2018,there were 32 cases of children with HCE from January 1,2013 to October 31,2017.The age,sex,nationality,geographical distribution,clinical symptom,physical sign s,imaging and laboratory results of the children were observed,and the locati on and size of the liver hydatid were analyzed.2.Surgical grouping: Group of HAE:Group A: Radical surgery,Group B: Quasi-radical surgery,Group C: pa lliative Surgery.Group of HCE: Group A: internal capsule excision,Group B: External capsule dissection,Group C: partial hepatectomy.Methods of operati on,postoperative complications and curative effect of each type of hydatid dis ease were compared and analyzed.Results: There were 57 cases of children in cluded in the study:1.A total of 25 cases of hepatic vesicular echinococcosis were included in the study,male 14(56%),female 11(44%),age 3~14 years old,mean Age(9.08±3.09)years old,including radical surgery in 12 cases(48%),para-radical surgery in 6 cases(24%),palliative surgery in 7 cases(28%).There were 2 cases of complications in Group A,4 cases in Group B,and 5 cases of palliative surgery in Group C.The total complication of radic al operation(Group A)was less than that of para-radical surgery(Group B)and palliative resection(Group C).2.There were 32 cases of children with H CE,male 15 cases(46.8%),female 17(53.1%),age 5~14 years old,average age(9.31±2.75)years old,Group A 15,Group B 10,Group C 7.In the post operative complications,Group A 5 cases,Group B 1,Group C 1 cases.There was 1 case of bile leakage in Group A,1 case of residual cavity infection,digestive tract fistula 1 cases,allergy 1 cases,intestinal obstruction 1 cases,t here was 1 case of residual hemorrhage in Group B,there was 1 case of pne umonia in Group C.The total complication,group A had significantly more complications than Group B and C.Conclusions:1.The choice of the mode of operation of children’s AE depends on the development stage of the disease,t he whole body comprehensive situation,the size and quantity of hydatid lesio n and whether it infringes the important blood vessel and viscera.Due to rad ical surgery in the abdominal drainage time after surgery,the time of anus ve ntilation,hospitalization time,hospitalization expense and overall complication are all more than radical operation(Group B)and palliative resection(Group C),the operation effect is good,no recurrence and death of children,should be used as the preferred surgical method for the treatment of children with H AE to be popularized.2.Three types of Pediatric CE treatment options,postop erative peritoneal drainage time,in terms of anus ventilation time,hospitalizati on time and hospitalization expenses,the internal SAC excision(Group A)w as higher than that of external capsular dissection(Group B)and partial hepat ectomy(Group C),and the overall complication of external capsular stripping and hepatectomy was less than that of internal capsule excision.External cap sule is stripping and hepatectomy are radical operations,which can be used a s the main surgical method for the treatment of children with HCE.