非寄生虫性肝囊肿的介入硬化治疗  

Intervention hardening treatment for non parasitic liver cyst

作　　者：奚拥军[1] 高文明[1] 倪世宇[1] 李双齐[1] 

机构地区：[1]大庆龙南医院-齐齐哈尔医学院第五附属医院,黑龙江大庆163453

出　　处：《中国伤残医学》2013年第8期64-65,共2页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的：探讨经皮穿刺介入硬化治疗肝囊肿的方法及疗效。方法：37例肝囊肿患者（男12例，女25例），41个囊肿，行B超引导下经皮穿刺肝囊肿内注射无水乙醇，对于直径大于5．Oem的囊肿，放置猪尾引流管，经引流管抽尽囊液后行乙醇冲洗，每天1次，3—4天结束。结果：本组35例治愈，治愈率94．6％（35／37）。显效l例，有效1例，全部37例患者无并发症出现，肝功能良好。最为常见的副反应是术后一过性转氨酶升高6例，5例出现一过性体温升高，8例出现醉酒样反应，6例出现轻微右上腹胀痛不适，5例有轻度恶心、呕吐，经对症治疗后消失。结论：B超引导经皮穿刺注射无水乙醇治疗肝囊肿，操作方便、创伤小、并发症少、疗效好，患者的经济负担小，易于接受。Objective：To explore the pereutaneous intervention hardening treatment of hepatic cyst methods and curative effect. Methods：37 cases of hepatic cyst patients （ 12 cases of male, female 25 cases） ,41 cyst, do B to exceed guided percutaneous liver cyst in injection anhydrous ethanol, more than 5.0 cm in diameter of the cyst,placed pig tail drainage tube,the drainage tube exhaust the cystic fluid before the ethanol flushing,every day 1,3 -4 days end. Results： The 35 cases were cured,cure rate 94.6% （35/37）. Powerfully 1 case, effective 1 case,all 37 patients without complications, liver function is good. The most common side effects was the sexual transaminase lifts 6 cases,5 cases with a transient temperature rise,8 cases with drunken sample reaction,6 cases of mild right upper quadrant pain is unwell,5 cases had mild nausea,vomiting, disappears after the symptomatic treatment. Conclusion： B ultrasonic guided puncture cyst in injection anhydrous ethanol treatment of hepatic cyst should be convenient operation,small trauma,less complications, curative effect was i good, patients economic burden was small, easy to accept.

关 键 词：肝囊肿 介入 硬化 治疗 

分 类 号：R735.7[医药卫生—肿瘤]