经皮穿刺抽吸囊液和囊内无水酒精注射术治疗巨大非寄生虫性肝囊肿  

THERAPY OF HUGE NON-PARASITE LIVER CYST BY PANCUTANEOUS PUNCTURE ASPIRATIONAND ETHANOL INJECTION UNDER THE GUIDANCE OF ORDINAARY SONOGRAPHIC PROBE

作　　者：郭佳[1] 赵铮民[1] 杨甲梅[1] 

机构地区：[1]第二军医大学附属东方肝胆外科医院超声科,上海20043

出　　处：《肝胆外科杂志》2003年第2期121-122,共2页Journal of Hepatobiliary Surgery

摘　　要：目的　探讨巨大非寄生虫性肝囊肿的无水酒精注射疗法及其疗效。方法　采用超声普通探头引导下经皮肝穿刺抽吸囊液后注射无水酒精治疗巨大非寄生虫性肝囊肿 3 5 0例 ,囊肿直径均在 10 cm以上 ,共 3 5 0个囊肿病灶 ,最大囊肿直径为 2 5 .5 cm,平均治疗 4～ 5次 ,单个囊肿一次抽液量最多者为 180 0 ml,累积抽液量最多为 5 760 m l。治疗后超声波检查随访 6个月 ,观察囊肿变化情况 ,结果　 3 8.6% (13 5 / 3 5 0 )患者囊肿消失 ,61.4 % (2 15 / 3 5 0 )患者囊肿显著缩小 ,共治疗 15 5 2次 ,未发生严重发症。结论　本方法具有适应症广 ,创伤小 ,副作用少 ,疗效好 ,经济负担小 。Objective To explore a therapy for huge non parasite liver cyst by pancutaneous puncture aspiration and ethanol injection(PPAEL) and to discuss the curative effect.Methods A total number of 350 large cysts(the diameter>10 cm)in 350 cases were treated in this hospital by this method.The procedure was guided by an ordinary sonographic probe.Among the patients, the diameter of the biggest lesion was 25.5 cm.Each cyst was managed 4-5 times on average.The largest amount of aspirated fluid in a single cyst by one procedure was 1800 ml and the cumulated amount was 5760 ml.Results 38.6%(135/350) of the cysts were cured and the remainings 61.4%(215) were marked reduced in size.The above mentioned treatment was executed by 1552 times with no serious complications.Conclusion Effectiveness,wide range of application,mininum trauma and side effects,cost effectivess,and much easier comsention by the patients comprise the outstanding characteristics of this method.

关 键 词：非寄生虫性肝囊肿 超声波 无水酒精 介入治疗 

分 类 号：R657.3[医药卫生—外科学]