腹腔镜开窗引流术与CT引导下穿刺硬化术治疗肝囊肿的对照研究  

Comparative Study of Laparoscopic Fenestration Drainage and CT-guided Puncture Sclerotherapy in the Treatment of Hepatic Cysts

作　　者：郭科[1] 刘秋华[1] 王刚[1] 黄频 GUO Ke;LIU Qiuhua;WANG Gang;HUANG Pin(Zhangjiagang First People's Hospital,Zhangjiagang 215600,China;不详)

机构地区：[1]张家港市第一人民医院(苏州大学附属张家港医院),江苏张家港215600

出　　处：《中外医学研究》2024年第7期26-29,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:分析腹腔镜开窗引流术与CT引导下穿刺硬化术治疗肝囊肿的效果。方法:选择2019年1月—2023年6月张家港市第一人民医院接收的100例肝囊肿患者作为研究对象,按照入院顺序编号,利用最新统计学软件生成随机序列并分为对照组、观察组,各50例。对照组采用CT引导下穿刺硬化术,观察组予以腹腔镜开窗引流术。比较两组临床疗效、围手术期指标、不良事件发生情况及生活质量。结果:对照组手术时间、术后下床时间、住院时间短于观察组,且出血量少于观察组,差异有统计学意义(P<0.05)。观察组治疗总有效率高于对照组,差异有统计学意义(P<0.05)。观察组不良事件总发生率高于对照组,差异有统计学意义(P<0.05)。治疗前后,两组欧洲五维生存质量量表(EQ-5D)各项评分比较,差异无统计学意义(P>0.05)。结论:在肝囊肿患者的治疗中,腹腔镜开窗引流术的治疗效果优于CT引导下穿刺硬化术,而CT引导下穿刺硬化术治疗后康复进展更快,安全性更高。两种方式均存在不同优势,临床上应根据肝囊肿患者的实际情况选择手术方式。Objective:To analyze the effect of laparoscopic fenestration drainage and CT-guided puncture sclerotherapy on hepatic cysts.Method:A total of 100 patients with hepatic cysts admitted to Zhangjiagang First People's Hospital from January 2019 to June 2023 were selected as the study objects,numbered according to the admission order,and divided into control group and observation group by using the latest statistical software on generate a random sequence of numbers,with 50 cases in each group.The control group received CT-guided puncture sclerotherapy,and the observation group received laparoscopic fenestration drainage.The clinical efficacy,perioperative indexes,adverse events and quality of life of the two groups were compared.Result:The operation time,postoperative getting out of bed time and hospitalization time of control group were shorter than those of observation group,and the blood loss was less than that of observation group,the differences were statistically significant(P<0.05).The total effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The total incidence of adverse events in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).Before and after treatment,there were no significant differences in the scores of the EuroQol five dimensions questionnaire(EQ-5D)between two groups(P>0.05).Conclusion:In the treatment of patients with hepatic cysts,the therapeutic effect of laparoscopic fenestration drainage is better than that of CT-guided puncture sclerotherapy,and the rehabilitation progress after the treatment of CT-guided puncture sclerotherapy is faster and safer.The two methods have different advantages,and the surgical method should be selected according to the actual situation of patients with hepatic cysts.

关 键 词：腹腔镜开窗引流术 CT引导下穿刺硬化术 肝囊肿 临床疗效 围手术期指标 不良事件 

分 类 号：R657.3[医药卫生—外科学]