超声引导经皮穿刺注射聚桂醇硬化治疗单纯性肝囊肿临床分析.docVIP

超声引导经皮穿刺注射聚桂醇硬化治疗单纯性肝囊肿临床分析 王豪1 付唆林2 宋嫣1 刘惠芬1 (1. 南昌大学第三附属医院超声科 江西省南昌市 330008) (2. 南昌大学第三附属医院消化科 江西省南昌市 330008) . 通讯作者: 王豪, 主治医师,硕士，研究方向：浅表器官超声诊断及腹部、浅表器官的介入超声。330008, 江西省南昌市象山北路128号, 南昌大学第三附属医院超声科. Email：108644041@ 手机Ultrasound guided percutaneous puncture and injection of lauromacrogol sclerosing therapy clinical analysis of simple hepatic cyst Hao Wang, Suo-Lin Fu, Yan Song, Hui-Fen Liu Hao Wang ,Yan Song， Hui-Fen Liu ，Department of ultrasound, the Third Affiliated Hospital of Nanchang University , Nanchang 330008,Jiangxi Province,China. Suo-Lin Fu, Department of Gastroenterology，the Third Affiliated Hospital of Nanchang University,Nanchang 330008,Jiangxi Province,China. [Abstract] Objective: To investigate the method and curative effect of ultrasound guided injection of lauromacrogol in treatment of hepatic cysts. Methods: ultrasound guided percutaneous liver cyst, 48 cases of liver cyst on patients with aspiration and injection of lauromacrogol sclerosing therapy, B follow-up curative effect observation. Results: all cases were followed up for 6 months, the results of the 48 cysts, 32 cured, effective 14, invalid 2. The cure rate was 66.6%, the total efficiency of 95.8%. The intraoperative and postoperative mild abdominal discomfort in 12 cases, intraoperative intracystic hemorrhage in 2 cases. Conclusion: ultrasound guided lauromacrogol efficacy in the treatment of simple hepatic cyst is accurate, less adverse reaction. [keyword] Ultrasound guided；Interventional therapy； lauromacrogol injection；hepatic cyst 【摘要】目的：探讨超声引导下注射聚桂醇治疗肝囊肿的方法和疗效。方法：在超声引导下经皮穿刺肝囊肿，对48 例肝囊肿患者行穿刺抽吸注入聚桂醇硬化治疗，超声随访观察疗效。结果：所有病例均6个月后随访，结果48个囊肿，治愈32个，有效14个，无效2个,治愈率66．6％，总有效率95．8％。其中术中、术后出现轻度腹部不适12例，术中囊内出血2例。结论:超声引导下聚桂醇治疗单纯性肝囊肿疗效确切，不良反应少。 【关键词】超声引导；介入治疗；聚桂醇注射液；肝囊肿 肝囊肿较小一般无需治疗，但如果囊肿较大，对周围脏器组织造成不同程度的挤压，出现一系列相应的症状体征，如腹部包块、腹胀，隐痛、感染、黄疸，肝功能损害等，就需要积极治疗，较大肝囊肿过去多以外科手术治疗为主，手术创伤大，愈合较慢且费用较高。近年来彩超引导下经皮穿刺抽吸硬化治疗肝囊肿，操作简单，安全性好，疗效显著，创伤小，住院时间短的优势，已成为治疗肝囊肿的首选方法。无水乙醇是肝囊肿硬化治疗的常用硬化剂，但术中术后常出现明显疼痛