彩色多普勒超声导向硬化剂治疗肝肾囊肿的疗效  

Therapeutic effect of absolute alcohol treatment for hepatic and renal cyst under the guidance of color Doppler ultrasound

作　　者：张云山[1] 贺声[1] 朱世华[1] 辛红[1] 沈燕华[1] 贾文凯[1] 余泽辉[1] 任贺[1] 

机构地区：[1]海军总医院超声诊断科,北京100037

出　　处：《中国介入影像与治疗学》2005年第3期200-202,共3页Chinese Journal of Interventional Imaging and Therapy

摘　　要：目的观察彩色多普勒超声导向肝肾穿刺注射无水酒精治疗肝肾囊肿的疗效。方法在彩色多普勒超声引导下经皮穿刺肝肾囊肿抽液后向肝肾囊肿内注射无水酒精。结果158例共173个肝肾囊肿经无水酒精治疗后复查发现总治愈率为81.5%,总显效率为97.7%。其中7例患者在治疗后出现不同程度的头晕、恶心等,15例患者注入无水酒精后或拔出针后出现肝区、腰部胀痛或不同程度腹痛,休息后均可缓解,无出血、感染、剧痛等严重并发症。结论彩色多普勒超声导向能成功避开肝肾大血管和进行囊肿的鉴别诊断。Objective To observe the therapeutic effect with absolute alcohol treatment on hepatic and renal cyst by percutaneous puncture under the guidance of color Doppler flow imaging (CDFI). Methods With transliver and transrenal aspiration of the encased fluid, injection of pure ethanol into the lumen was followed under the guidance of CDFI. Results After absolute alcohol treatment for 173 cysts in 158 cases, the cure rate was 81.5%, the efficacy rate was 97.7%. Among 158 cases, 7 cases were dizziness and nausea in different degrees after treatment. After injection of pure ethanol into lumen or the needle extraction, 15 cases were swelling pain in hepatic and lumbar region, or abdominal pain. All these cases can be remitted by taking rest. Conclusion Guidance of CDFI can keep the needle away from the hepatic and renal large vessels and engage in the differential diagnosis.

关 键 词：彩色多普勒 肝肾囊肿 超声导向 硬化剂治疗 疗效 无水酒精治疗 肾囊肿内注射 不同程度 超声引导下 严重并发症 穿刺注射 经皮穿刺 鉴别诊断 治疗后 抽液后 治愈率 显效率 无出血 大血管 出现 患者 

分 类 号：R575[医药卫生—消化系统] R692.9[医药卫生—内科学]