高渗葡萄糖囊内注射治疗老年性巨大肝囊肿疗效分析  

Effect of injection of hypertonic glucose for the sclerosis therapy in aged huge hepatic cysts

作　　者：沈水春[1] 沈继斌[1] 魏育英[1] 

机构地区：[1]解放军第455医院,200052

出　　处：《上海医学影像》2005年第4期293-294,299,共3页Shanghai Medical Imaging

摘　　要：目的评价高渗葡萄糖对老年人巨大肝囊肿囊腔内硬化治疗的效果。方法对直径>10．0cm、首次抽出囊液量>600ml、年龄在70岁以上的老年人肝囊肿32个,穿刺抽净囊液后囊内注入50％GS,治疗2次的21个,3次的8个,4次的3个。结果对每一个肝囊肿治疗后180～360天内超声随访,缩小>80％20个,>50％10个,>30％2个,无一例完全消失,治愈率为62．5％,有效率为31． 5％,好转率为6％,无效率为0％。结论老年单纯性巨大肝囊肿穿刺抽液及高渗葡萄糖硬化治疗是一种安全、经济、简便、病人易接受、重复性强的有效治疗法。Purpose To evaluate the effectiveness of injection of hypertonic glucose for the sclerosis therapy in aged huge hepatic cysts. Methods Thirty-two hepatic cysts which diameter were over 10.0cm and the fluid volume in the cyst were over 600ml in patients whose age were over 70 were treated using a percutaneous approach under sonographic guidance. All cysts were treated with puncture and aspiration of the contents, injection of hypertonic glucose. Repeated injecton in 21 cysts; repeated for three times in 8 cysts; repeated for four times in 3 cysts. The follow-up period was between 6 and 12 months. Results Twenty hepatic cysts were reduced over 80% in size; ten cysts were reduced over 50% in size; two cysts were reduced over 30% in size. No cyst disappeared completely. The rate of cure is 62.5%; the rate of efficiency is 31.5%; the rate of improvement is 6%. Conclusions Injection of hypertonic glucose for the sclerosis therapy in aged huge hepatic cysts is safe, economic, simple, acceptable and repeatable.

关 键 词：高渗葡萄糖 囊肿 肝 

分 类 号：R735.705[医药卫生—肿瘤] R686.1[医药卫生—临床医学]