非寄生虫性肝囊肿穿刺注射疗法的临床研究  

Clinical study for injection therapy of non-parasitic hepatic cyst

作　　者：毛羽[1] 陈佛来[1] 刘效慈[2] 肖萍[2] 刘淑敏[2] 

机构地区：[1]首都医科大学附属北京同仁医院外科,100730 [2]首都医科大学附属北京同仁医院超声室

出　　处：《中华普通外科杂志》1998年第1期8-10,共3页Chinese Journal of General Surgery

摘　　要：目的评价非寄生虫性肝囊肿穿刺注射疗法的效果。方法回顾性总结施行穿刺及不同药物注射的肝囊肿病人31例。单发囊肿29例,多囊肝2例。所有病人均在 B 超引导下,经皮肝囊肿穿刺。结果乙醇注射51人次,10%葡萄糖酸钙及高渗盐水注射各4人次。囊肿小于8.0cm 时,一次治疗后90.5%的囊肿可缩小50%,12个月后囊肿全部或基本消失。囊肿直径大于8.6cm,特别是11cm 以上者,常需多次治疗。且12个月后无消失的病例。全部治疗病人无并发症或肝功异常改变。结论非寄生虫性肝囊肿穿刺注射疗法简单、安全、有效,无水乙醇的作用更为明显。Objective To evaluate the efficacy of injection therapy for non-parasitic hepatic cyst.Method 31 patients with non-parasitic hepatic cyst were studied and followed up after puncture and injection of dif- ferent obliterants.29 patients suffered from solitary cyst,2 patients had multiple cysts.Procedures were guided by B ultrosound and cysts punctured percutaneously.Ethanol was used for 51 times,10% calcium gluconate and 10% sodium chloride for 4 times respectively.Result The size of the cysts de- creased by 50% after one injection and almost disappeared 12 months later in 90.5% of the cases with the diameter of the cyst less than 8.0 cm.Repeated puncture was needed if cyst was larger than 8.6 cm,especially more than 11 cm.No larger cysts disappeared by this theraphy.There were no complica- tions and abnormality of liver function in all patients.Conclusion Results show injection therapy is simple,safe and effective.Effect of ethanol is better than other two obliterants.

关 键 词：肝囊肿 注射疗法 非寄生虫性 无水酒精 

分 类 号：R735.705[医药卫生—肿瘤]