CT引导下肝囊肿穿刺无水乙醇硬化治疗69例临床分析  

CT-guided percutaneous ethanol sclerotherapy for hepatic cysts: a clinical analysis of 69 cases

作　　者：张红梅 陈晨 陈凯 吴红军 ZHANG Hong-mei;CHEN Chen;CHEN Kai;WU Hong-jun(CTMRI Room,Pucheng County Hospital,Weinan 715500,Shaanxi,CHINA)

机构地区：[1]蒲城县医院CTMRI室

出　　处：《海南医学》2020年第5期638-640,共3页Hainan Medical Journal

摘　　要：目的探讨CT引导下肝囊肿穿刺无水乙醇硬化治疗肝囊肿的临床疗效。方法回顾性分析2016年7月至2019年1月蒲城县医院收治的69例行CT引导下肝囊肿穿刺无水乙醇硬化治疗患者的临床资料,所有患者随访至术后6个月,观察患者的手术疗效和安全性以及囊肿的复发情况。结果本组63例患者一次性穿刺成功,治疗用时15~49 min,平均(32.15±5.09) min,平均硬化次数(4.12±2.35)次,平均硬化时间(29.65±7.51) min;所有患者治疗过程中均未出现大出血、胆道损伤等并发症,治疗后发热、腹痛等症状较治疗前明显减轻;梗阻性黄疸患者胆红素水平由术前的(25.34±3.59)μmol/L下降至术后的(13.25±2.01)μmol/L,差异有显著统计学意义(P<0.01);截止末次随访,治疗痊愈28例,显效23例,有效14例,无效4例,有效率为94.20%。复发3例,无1例死亡。结论 CT引导下肝囊肿穿刺无水乙醇硬化治疗可提高穿刺成功率,疗效确切,并发症少,复发率低。Objective To investigate the clinical effect of CT-guided percutaneous ethanol sclerotherapy for hepatic cysts. Methods The clinical data of 69 patients treated by CT guided liver cyst puncture and ethanol sclerotherapy in Pucheng County Hospital from July 2016 to January 2019 were analyzed retrospectively. All patients were followed up to 6 months postoperatively to observe the efficacy and safety of the operation, as well as the recurrence of the cyst. Results A total of 63 patients were successfully punctured in one time. The treatment time was 15 to 49 minutes, and the average time was(32.15±5.09) min;the average hardening times were 4.12±2.35, and the average hardening time was(29.65±7.51) min;there were no complications such as massive hemorrhage and bile duct injury in all patients. After treatment, the symptoms of fever and abdominal pain were significantly reduced;the level of bilirubin in patients with obstructive jaundice decreased from(25.34±3.59) μmol/L before operation to(13.25±2.01) μmol/L after operation(P<0.01);up to the last follow-up, 28 cases were cured, 23 cases were effective, 14 cases were valid, and 4 cases were ineffective, with the effective rate of 94.20%. Three cases recurred, and no one died. Conclusion CT-guided percutaneous ethanol sclerotherapy of hepatic cyst can improve the success rate of puncture, and has the advantages of confirmed curative effect, few complications and low recurrence rate.

关 键 词：肝囊肿 无水乙醇 介入治疗 临床疗效 安全性 计算机体层成像 

分 类 号：R657.3[医药卫生—外科学]