穿刺置管、多次注射无水酒精治疗肝囊肿37例分析  

Cathterization,repeated injection of anhydrous alcohol in treatment of liver cysts:37 cases analysis

作　　者：褚延魁[1] 王胜智[1] 刘育蕾[1] 康志龙[1] 

机构地区：[1]解放军第302医院普通外科,北京100039

出　　处：《胃肠病学和肝病学杂志》2015年第5期553-555,共3页Chinese Journal of Gastroenterology and Hepatology

摘　　要：目的评价B超引导下经皮穿刺抽吸注射无水乙醇治疗肝囊肿的临床疗效。方法收集解放军302医院普外科肝囊肿患者的相关临床资料,排除乙醇过敏、有严重出血倾向及患有呼吸系统疾病不能配合屏气者,对符合条件的37例患者行穿刺置管、多次注射无水乙醇硬化治疗。结果放置导管引流囊液数天后,影像学结果显示囊腔明显缩小,拔出导管1个月后,影像学结果显示囊腔消失,治愈23例,有效12例,有效率94.7%。治疗过程中无严重并发症发生。37例患者中,5例在注射过程中出现不同程度面色潮红、头晕、心率加快等醉酒样表现,2例出现肝区疼痛,但均可耐受,随访1年,无1例复发。结论与常规穿刺抽液比较,留置导管、反复注射的方法既可以最大程度地减少囊液残留,提高囊壁坏死程度,又可以避免反复穿刺给患者带来的损伤。Objective To evaluate the therapeutic efficacy of percutaneous puncture anhydrous ethanol injection un- der the ultrasound guided to treat the hepatic cyst. Methods Clinical data of patients with hepatic cyst were collected, patients who had alcohol allergy, severe bleeding tendency and respiratory system diseases can＇ t take their breathless were removed, 37 cases of liver cyst were treated with catherization repeated injection of anhydrous alcohol. Results After the catheter anhydrous ethanol into the hepatic cyst cavity and drainage repeatedly, the imaging resuts showed that the hepatic cyst cavity narrowed significantly, pulling out the catheter after 1 month, imaging resuts showed that most he- patic cyst cavity disappeared. Twenty-three patients with cured, 12 patients with cured effectively, and the effective rate was 94.7% , and there were no serious complications in the treatment process. In the process of anhydrous ethanol in- jection, 5 cases appeared different degree drunken appearance, such as flush, dizziness, heart rate and so on; 2 cases appeared liver area pain, but all could be tolerated follow-up one year, there was no patients with recurrence. Conclu- sion Compared with the conventional puncture pumping liquid, indwelling catheter and repeated injection anhydrous ethanol can not only minimize the hepatic cyst cavity fluid residues, improve necrosis degree of the cyst wall, but also a- void injury patients repeatedly.

关 键 词：肝囊肿 穿刺置管 引流 

分 类 号：R575[医药卫生—消化系统]