超声引导下肝囊肿三种不同方法疗效对比研究  

Comparative Study of Three Different Methods for the Sclerotherapy of Hepatic Cysts Under Ultrasound Guidance

作　　者：刘斌[1] 汪勇[1] 毛新志[1] 申磊[1] 李明[1] 闫娟[1] 

机构地区：[1]湖南省石门县人民医院消化内科,415300

出　　处：《医学理论与实践》2016年第13期1684-1685,1708,共3页The Journal of Medical Theory and Practice

摘　　要：目的:探讨无水乙醇、高渗葡萄糖、聚桂醇硬化治疗肝囊肿的整体治疗效果。方法:选取2011-2015年在我院接受肝囊肿硬化治疗的123例患者,根据治疗方法的不同分为无水乙醇组(A组)、高渗葡萄糖组(B组)、聚桂醇组(C组),对比三种治疗方法的疗效、不良反应、治疗后肝功能情况。结果:三组间治疗效果比较,差异有统计学意义(P=0.009);A、B组治疗效果比较,差异无统计学意义(P=0.162);B、C组治疗效果比较,差异有统计学意义(P=0.002);A、C组治疗效果比较,差异无统计学意义(P=0.126)。三组腹痛、腹胀、纳差、过敏及醉酒反应、ALT、AST、TBIL、DBIL比较,差异均有统计学意义;三组囊内出血比较,差异无统计学意义(P=0.205)。结论:聚桂醇硬化治疗组疗效、不良反应、肝脏损伤分析、整体疗效均优于无水乙醇组及高渗葡萄糖组。Objective：To investigate the effect of the sclerotherapy of hepatic cysts with anhydrous ethanol,hypertonic glucose,and lauromacrogol injection.Methods：123cases of hepatic cysts in our hospital in 2011-2015 were selected.According to different treatment methods,the patients were divided into anhydrous ethanol group（A group）,hypertonic glucose group（B group）,lauromacrogol injection group（C group）,and compared the efficacy,adverse reactions,and hepaticfunction of three kinds of post-treatment methods.Results：There were significant differences in treatment effect between the three groups（P=0.009）;B and A groups had no significant difference（P=0.162）;B and C groups were significantly different（P=0.002）;A and C groups had no significant difference（P=0.126）.Three groups of abdominal pain,bloating,anorexia,allergic reactions and drunkenness,ALT,AST,TBIL,DBIL differences were statistically significant;intracystic hemorrhage difference among the three groups had no statistical significance（P=0.205）.Conclusion：In the sclerotherapy effect,adverse reactions and hepatic injury,lauromacrogol injection group were better than that of the anhydrous ethanol group and hypertonic glucose group.

关 键 词：肝囊肿 无水乙醇 高渗葡萄糖 聚桂醇注射液 硬化治疗 

分 类 号：R445[医药卫生—影像医学与核医学]