摘要
目的对超声引导乙醇治疗肝肾囊肿的方法进行进一步的探讨,使乙醇治疗肝肾囊肿疗效更好,安全性更高。方法采用超声引导下的直接乙醇冲洗疗法和置管引流冲洗疗法,乙醇总量不予控制为主要方法改进。注重术前认真谈话和彩超引导。结果肝肾囊肿共306个,治愈249个,明显有效48个,有效6个,无效3个。治愈率81.37%,有效率99.02%。其中,肾囊肿189例241个囊肿,有效率100%,治愈率87.55%;肝囊肿59例65个囊肿,有效率95.38%,治愈率58.46%。无一例出现明显的过敏反应、出血等并发症。结论①超声引导下的直接乙醇冲洗疗法和置管引流冲洗疗法,疗效确切,不良反应少。②肾囊肿的治愈率明显高于肝囊肿(P<0.01);大于10mm的肝囊肿疗效差(P<0.01)。③术前认真谈话和彩超引导也很重要。
Objective To re-investigate the methods of alcohol therapy of hepatorenal cyst under the guidance of ultrasound and how to improve the curative effects and security. Methods Two hundred and forty-eight patients underwent color Doppler ultrasound-guided interventional therapy because of hepatic cyst or renal cyst. Therapy were performed with alcohol directly washing or tube-placed washing. Results Of the 306 cysts, there were cure in 249 cysts, obvious efficiency in 48 cysts, efficiency in 6 cysts and inefficacy in 3 cysts, the cure rate and effective rate were 81.37% and 99.02%, respectively. Among these patients, there were 189 renal cyst patients （241 cysts）, the effective rate and cure rate was 100% and 87.55%, respectively; there were 59 hepatic cyst patients （65 cysts）, the effective rate and cure rate was 95.38% and 58.46%, respectively. Besides, there were no obvious anaphylaxis, bleeding, and other complications. Conclusion For the hepatorenal cyst patients, alcohol directly washing or tube-placed washing under the guidance of color Doppler ultrasound is a safe method with explicit effect and little implications. Besides, we find that the cure rate of renal cyst precedes that of hepatic cyst （P〈0. 01） and the effect of hepatic cyst which is bigger than 10 cm is bad （P〈0. 01）. Furthermore, carefully pre-operation conversation and the color Doppler ultrasound guidance are important.
出处
《中国介入影像与治疗学》
CSCD
2006年第2期112-114,共3页
Chinese Journal of Interventional Imaging and Therapy
关键词
肝肾囊肿
介入治疗
超声引导
Hepatorenal cyst
Interventional therapy
Ultrasound guidance
