超声引导下糖尿病人肝囊肿穿刺硬化治疗的临床意义.docVIP

精品论文 参考文献 超声引导下糖尿病人肝囊肿穿刺硬化治疗的临床意义 吴旸1 顾新刚2（通讯作者）秦建民2 夏寅娟1 张敏2 (1上海中医药大学附属普陀医院超声科 200062) (2上海中医药大学附属普陀医院普外科 200062) 【摘要】目的 回顾性分析超声引导下糖尿病病人肝囊肿穿刺硬化治疗的临床意义。方法　以无水酒精、聚桂醇注射液为硬化剂对73例糖尿病人肝囊肿随机分组，实施在超声引导下穿刺抽液硬化治疗。以3月、6月、12月定期复查超声观察评价疗效。结果　在超声引导下，所有病例均获得一次性穿刺成功，抽尽囊液后注入硬化剂治疗，随访数据显示囊肿治疗有效率3月55.3%、6月76.5%、12月92.3%，总有效率100%，病人症状得到缓解；统计学分析两种硬化剂在囊肿硬化疗效上无统计学意义（P＞0.05）。结论　超声介入是糖尿病病人肝囊肿的首选治疗手段，值得临床推广应用。 【关键词】肝囊肿 超声 硬化 糖尿病 【中图分类号】R61 【文献标识码】A 【文章编号】2095-1752（2013）13-0108-02 The clinical values of Liver Cysts with Ultrasound Guided Percutaneous Sclerotherapy for diabetes patients Wu yang, Gu xin-gang, Qin jian-ming, Xia yin-juan, Zhang min (Department of Ultrasound Diagnosis ,Department of surgery, affiliated to University of TCM，Shanghai) 【Abstract】Objective To retrospectively evaluate the clinical values of liver cysts with Ultrasound guided Percutaneous sclerotherapy for diabetes patients .Methods Ultrasound guided percutaueous sclerotherapy with dehydrated alcohol and lauromacrogol were performed in 73 diabetes patients with liver cysts through random allocation.The clinical effect was analysed after three months and six months and 12months through ultrasonography. Results All cases are punctured successfully once and then extraction of cystic fluid and injection dehydrated alcohol or lauromacrogol were performed .The follow-up data showed the treatment effectiveness for liver cysts were 55.3% after 3 months and 76.5% after 6 months and 92.3% after 12months.Total effective rate was 100%. Patients with symptoms were alleviated.There were no statistical significance between dehydrated alcohol and lauromacrogol for liver cysts treatment effectiveness. Conclusion Ultrasound guided pereutneous was first choice for diabetes patients with liver cysts and deserves clinical application and generalization. 【Key words】Liver cyst Ultrasound Sclerotherapy Diabetes 传统的开腹或腹腔镜术是肝囊肿的主要治疗手段，但因其创伤性、并发症多、恢复慢的因素，临床应用受到限制；在超