临床医学毕业论文超声介入治疗腹腔囊肿的疗效分析.docVIP

超声介入治疗腹腔囊肿的疗效分析 姓 名： 2014年6月25日 超声介入治疗腹腔囊肿的疗效分析 】H的探讨超声引导经皮穿刺并注射无水酒精治疗腹腔囊肿的疗效。 方法对81例肝、肾及卵巢囊肿患者在超声引导下经皮穿刺注射无水酒精治疗， 随访3个月，观察术后囊肿蒌缩情况。结果81例患者均穿刺成功，其屮肝囊肿 17例，治愈7例，有效7例，无效3例；肾囊肿41例，治愈18例，有效19例， 无效4例；卵巢囊肿23例，治愈15例，有效4例，无效4例。治疗总有效率 86.4%，无效率13.6%。结论超声引导经皮注射无水酒精治疗腹腔各脏器囊肿是 一种简单安全、经济实用的微创治疗方法，病例选择及穿刺治疗技巧是提高成功 率的关键。 关键词】囊肿；超声引导；无水酒精；硬化治疗 Abstract:Objective To evaluate the curative effect of ultrasoundguided aspiration and sclerotherapy with 99.9% alcohol for the treatment of abdominal cysts. Methods 81 cases of cysts including liver，kidney,and ovary cysts were treated with ultrasoundguided aspiration and sclerotherapy with 99.9% alcohol，postoperative observation was made for three months to check the atrophia of every cysts. Results 81 cases were successfully treated.In the 17 cases of liver cysts,7 cases were cured,7cases were improved and 3 cases were ineffective;In the 41 cases of renal cysts，18 cases were cured，19 cases were improved and 4 cases were ineffective;In the 23 cases of ovary cysts，15 cases were cured,4 cases were improved and 4 cases were ineffective.Total treatment effective ratio was 86.4% and ineffective ratio was 13.6%. Conclusion Ultrasoundguided aspiration and sclerotherapy with 99.9% alcohol for treatment of abodominal cysts was a simple,safejnexpensive and mininally invasive.The key to success was to choose appropriate patients and skills of puncture. Key words:cyst; ultrasound guided;absolute alcohol;sclerotherapy 我院自2002年至2006年共对81例肝、肾及卵巢囊肿施行超声引导T经 皮穿刺抽液并注射无水洒精治疗，取得较好的疗效，但仍奋11例治疗效果不佳， 现对上述各种囊肿的治疗效果分析报告如下。 1材料与方法 1.1 一般资料 本组81例，其中男35例，女46例，年龄18?70岁，平均年龄44岁； 81例腹腔囊肿中肾囊肿41例，肝囊肿17例，卵巢囊肿23例；超声测量囊肿大 小：肾囊肿为40?150 mm （平均85 mm），肝囊肿42?138 mm （平均90 mm）， 卵巢囊肿41?105 mm （平均73 mm）。仪器采用韩国Medison8000 Live三维超 声及美国ATI公司HDI 3500型彩色超声诊断仪,配穿刺引导架，频率2.5 MHZ, 选用直径18GEV塑料套管针。术前常规检查出凝血时间，血小板计数，心电图， 相关临床科室医师配合，病人及家属对手术知情同意并签署手术志愿书。 1.2方法 肝、肾、卵巢囊肿病人准备大致相同，肝囊肿一般采用仰卧位或左卧位， 肾囊肿一般采用俯卧位或侧卧位，卵巢囊肿则采用仰卧位。超声检査确立囊肿大 小及进针路线，彩色多普勒显示下尽量避开大的血管及重要脏器，标记穿刺进针 部位；局部消毒，铺无菌方巾，局部利多卡因麻醉，超声引导下进针；针