微创伤技术治疗非寄生虫性肝囊肿的评价  

Evaluation of minimal trauma techniques in treatment of non-parasitic hepatic cyst

作　　者：李洁[1] 于则利[1] 张庆余[1] 毛羽[1] 陈佛来[1] 

机构地区：[1]首都医科大学附属北京同仁医院普外科,北京市100730

出　　处：《中华肝胆外科杂志》2001年第5期285-287,共3页Chinese Journal of Hepatobiliary Surgery

摘　　要：目的　探讨非寄生虫性肝囊肿外科治疗的最佳治疗方法。方法　回顾分析 5 2例治疗过程及结果 ,穿刺注射法 2 7例 ,腹腔镜囊肿开窗 14例 ,开腹手术 11例。结果　开腹手术效果确实 ,但创伤大 ,恢复慢 ;穿刺注射法及腹腔镜囊肿开窗法创伤轻 ,痛苦小 ,住院时间短。直径 8cm以下囊肿穿刺注射无水乙醇 ,囊肿于 6个月内消失 ,囊肿越大 ,越适合腹腔镜开窗法治疗。结论　应用微创伤技术治疗非寄生虫性肝囊肿具有良好的临床效果 。Objective To investigate the best surgical approach in treatment of non-parasitic hepatic cyst (NPHC). Methods The clinical data of 52 patients with NPHC treated in our hospital were retrospectively analyzed. Of the patients, 27 were treated with ultrasonically guided percutaneous transhepatic puncture, aspiration and alcohol sclerotherapy, 14 with laparoscopic fenestration and 11 with abdominal operation. Results Though abdominal operation was quite effective for treatment of NPHC, the trauma was severe and recovery slow. As for puncture and alcohol injection of the cyst and laparoscpic fenestration, the trauma and suffering were minimal. Furthermore, the duration of hospitalization was short. After alcohol injection, the cyst with a diameter less than 8 cm disappeared in 6 months. Laparoscopic fenestration was more suitable for greater cyst. Conclusions Minimal trauma techniques are appropriate in treatment of NPHC. It is very important to properly select different surgical treatments.

关 键 词：微创伤 外科手术 非寄生虫性肝囊肿 NPHC 

分 类 号：R657.3[医药卫生—外科学]