超声引导下PTCD对恶性肝脏囊性病变预后影响及治疗安全性分析.docVIP

超声引导下PTCD对恶性肝脏囊性病变预后影响及治疗安全性分析 　　【摘要】 目的：分析超声引导下PTCD（经皮经肝穿刺胆管置管引流）对恶性肝脏囊性病变患者预后及治疗安全性的影响。方法：选取本院2011年1月-2014年1月收治的30例恶性囊性病变患者作为研究对象，所有患者均给予经皮肝穿刺胆管置管引流治疗，观察其治疗效果及术后并发症发生率，统计首次穿刺置管成功率。结果：25例单发肝脏囊性病变患者，首次成功穿刺23例，成功率为92.00%，二次全部穿刺成功，二次成功率为100%，其PTCD首次置管成功率为88.00%；5例多发囊性病变者首次穿刺与置管成功率均为80.00%。随访结果提示，单发组临床控制9例，显效11例，好转2例，总有效率为88.00%；多发者，临床控制1例，显效2例，好转1例，总有效率为80.00%。结论：在恶性肝脏囊性病变患者的临床治疗中，应用超声引导下PTCD方案，有其较高的治疗效率，预后较好，术后并发症发生率低，安全性较高。 　　【关键词】 恶性肝脏囊性病变； 穿刺引流； 预后； 安全性 　　【Abstract】 Objective： To analyze the application of ultrasound guided PTCD （percutaneous transhepatic biliary drainage） effects on malignant cystic lesions in the liver treatment and the prognosis of patient safety. Method： 30 patients with malignant cystic lesion were selected in our hospital from January 2011 to January 2014 as study objects， all the patients were treated by percutaneous transhepatic biliary drainage treatment， to observe the therapeutic effects and the incidence of postoperative complications， statistics for the first time puncture success rate. Result： 25 patients with single cystic lesions in the liver， the first successful puncture in 23 cases， the success rate was 92.00%， all success in two times puncture， the success rate was 100%， the PTCD for the first time， the success rate of catheterization was 88.00%； 5 cases with multiple cystic lesions were the first successful puncture and catheterization rate was 80.00%. The follow-up results suggested that single clinical control group of 9 cases， 11 cases markedly effective， 2 cases improved， the total effective rate was 88.00%； multiple， 1 case of clinical control， 2 cases were cured， 1 case improved， the total effective rate was 80.00%. Conclusion： The clinical treatment of patients with malignant liver cystic lesions， guided PTCD scheme using ultrasound， with its high efficiency of treatment， the prognosis is good， the low incidence of postoperative complications and higher security. 　　【Key words】 Liver malignant cystic lesions； Punctu