经皮穿刺抽吸硬化治疗肝囊肿  

PRCUTANEOUS TREATMENT BY APIRATION AND SCLEROTHERAPY OF 28 PATIENTS WITH HEPATIC CYST

作　　者：黄辉[1] 汤海涛[1] 吴松[1] 

机构地区：[1]六安市人民医院肝胆外科,六安237005

出　　处：《肝胆外科杂志》2010年第4期278-280,共3页Journal of Hepatobiliary Surgery

摘　　要：目的探讨经皮穿刺抽吸硬化治疗肝囊肿治疗方法及疗效。方法回顾分析我院经皮穿刺抽吸硬化治疗肝囊肿28例临床资料。结果全组硬化治疗均获成功,在超声(20例)或CT(8例)引导下,28例患者共治疗36较大个囊腔,随访6个月～13年。疗效指数无0级病例,Ⅰ级为2个囊肿,Ⅱ级为19个囊肿,Ⅲ级为15个囊肿,其中囊腔消失5个。结论超声或CT引导下经皮穿刺抽吸硬化治疗肝囊肿是一种相对安全、有效的方法。Objective To investigate the technique and clinical efficacy of percutaneous treatment of hepatic cyst by apiration and sclerotherapy.Methods Data of 28cases with hepatic cyst by percutaneous aspiration and sclerotherapy in our hospital were collected and analysed.Results Thirty six hepatic cysts in 28 patients underwent ultrasonography （20 cases） /CT（8 cases） guided percutaneous puncture and aspiration.All the cases received corresponding ethanol sclerotherapy according to the different quality of the cysts and were followed up.Compared with those presclerotherapy,the cysts reduced by less than 1/3 in 2 cysts,by 1/3-2/3 in 19 cysts,by more than 2/3 in 15 cysts and disappeared in 5 cysts after sclerotherapy.The treatment was effective in all the cases.After 6 months to 13 years followup,no fatal complications or recrudescent cases were found.Conclusion Percutaneous treatment of hepatic cyst by aspiration or drainage followed by ultrasonography /CTguided injection of alcohol is safe and effective.

关 键 词：肝囊肿 超声/CT 经皮穿刺 乙醇注射 

分 类 号：R575[医药卫生—消化系统]