两种不同方法治疗单纯性肝囊肿患者疗效对比  

Comparison of Two Different Methods in the Treatment of Simple Hepatic Cyst

作　　者：陈晓颖[1] 龚建平[2] 熊彬[2] 

机构地区：[1]重庆市江北区中医院外科,重庆 [2]重庆医科大学附属第二医院肝胆外科,重庆

出　　处：《临床医学进展》2021年第8期3547-3552,共6页Advances in Clinical Medicine

摘　　要：目的:探讨超声引导下穿刺介入治疗与腹腔镜下肝囊肿开窗术治疗单纯性肝囊肿患者疗效对比。方法:回顾性分析自2017年1月至2020年6月收治的96例手术治疗的单纯性肝囊肿患者,根据手术方式的不同,分为经超声引导下穿刺介入组(A组,n = 51)和经腹腔镜肝囊肿开窗术组(B组,n = 45),比较两组患者的治疗有效率、术后并发症发生率和平均住院时间。结果:两组患者总体治疗有效率相当(p 】0.05),但腹腔镜肝囊肿开窗术的痊愈率高于超声引导下穿刺介入治疗,差异具有统计学意义(p 0.05)。结论:单纯性肝囊肿行超声引导穿刺介入治疗与行经腹腔镜下开窗术的平均住院时间及术后并发症发生率相当,但经腹腔镜下开窗术的痊愈率高于超声引导穿刺介入治疗。Objective: To compare the efficacy of ultrasound-guided percutaneous intervention and laparoscopic fenestration in the treatment of simple hepatic cyst. Method: 96 patients with simple hepatic cysts were retrospectively analyzed from January 2017 to June 2020. According to different surgical methods, they were divided into ultrasound-guided puncture intervention group (Group A, n = 51) and laparoscopic fenestration group (Group B, n = 45). The treatment efficiency, postoperative complication rate and average length of stay of the two groups were compared. Result: The overall effective rate of the two groups was similar (p >0.05), but the cure rate of laparoscopic liver cyst fenestration was higher than that of ultrasound-guided puncture intervention, the difference was statistically significant (p 0.05). Conclusion: The average length of hospital stay and the incidence of postoperative complications of ultrasound-guided interventional therapy and laparoscopic fenestration for simple hepatic cysts were similar, but the cure rate of laparoscopic fenestration was higher than that of ultrasound-guided interventional therapy.

关 键 词：单纯性肝囊肿 腹腔镜开窗术 超声引导穿刺介入 

分 类 号：R65[医药卫生—外科学]