微创技术在治疗单纯性肝囊肿中的应用  

Minimally invasive technique in the treatment of simple hepatic cyst

作　　者：金红梅[1] 陈剑秋[1] 安力春[2] 

机构地区：[1]天津医科大学第二医院普通外科,天津300211 [2]中国人民解放军总医院超声科,北京100039

出　　处：《天津医科大学学报》2011年第3期395-397,共3页Journal of Tianjin Medical University

摘　　要：目的:对比治疗单纯性肝囊肿的腹腔镜去顶术和超声引导下穿刺抽液、酒精硬化治疗两种方法。方法:回顾性分析75例患者(83个肝囊肿)临床资料,其中腹腔镜组37个肝囊肿,超声介入组46个肝囊肿,比较两组的手术时间、术后恢复活动时间、住院时间、医疗费用、复发率、并发症发生率。结果:两组的手术时间、术后恢复活动时间、住院时间、医疗费用的差异有统计学意义(P<0.05),而复发率、并发症发生率差异无统计学意义(P>0.05)。结论:超声引导下穿刺抽液、酒精硬化治疗因其创伤小、恢复快、不住院、费用低,适合我国国情,是一种值得推广的方法。Objective： To compare laparoscopic deroofing and ultrasound（US） -guided needle cyst aspiration followed by alcohol sclerosis for the treatment of simple hepatic cyst. Methods： 37 cycsts received laparoscopic deroofing（ laparoseopic group ） and 46 cycsts received US -guided needle cyst aspiration followed by alcohol sclerosis （interventional ultrasound group） in 75 patients（ 83 cysts ）were reviewed retrospectively. The operation time, time of get out of bed, hospital stay, the expenses, complications and recurrence rate were analyzed. Results： In two group＇ s operation time, time of get out of bed after surgery, hospital stay, the expenses, were statistical significance significantly （ P 〈 0. 05）, recurrence rate and complications had no significant difference （P 〉 0.05）. Conclusion： US -guided needle cyst aspiration followed by alcohol sclerosis is suitable for China because of its less invasive, quicker recovery, no hospitalization and low cost. So this procedure is worthy of popularizing.

关 键 词：单纯性肝囊肿 酒精硬化 腹腔镜去顶术 

分 类 号：R575[医药卫生—消化系统]