摘要
目的探讨超声引导无水乙醇硬化治疗腹盆腔脏器囊肿的临床效果及安全性。方法超声引导下对509例患者的腹盆腔脏器囊肿穿刺行无水乙醇硬化治疗。结果509例中超声检出526个囊肿(肝囊肿169例、肾囊肿328例、脾囊肿2例、胰囊肿4例、卵巢囊肿6例)。囊肿大小2.5cm×3.0cm～20.0cm×25.0cm。526个囊肿术前超声均伴后方增强效应,囊腔内均未见异常血流信号。526个囊肿共穿刺655次,1次穿刺成功647次(98.8%),穿刺失败8次(3次因术中患者体位变动针尖穿出囊腔、5次进针后未抽出囊液),重新定位后再次穿刺均获成功。509例526个腹盆腔脏器囊肿无水乙醇硬化治疗治愈率达92.4%(486/526),显效率7.6%(40/526)。结论超声引导穿刺硬化治疗囊肿安全有效,是腹盆腔脏器囊肿治疗首选的方法。
Objective To explore the efficacy and safety of the treatment of absolute ethanol sclerosing drugs guided by ultrasound in the caliac and pelvic cavity visceral cysts. Methods A total of 509 patients with caliac and pelvic cavity visceral cysts were treated with absolute alcohol. Results A total of 526 celiac cysts （2.5 cm ×3.0 cm - 20.0 cm × 25.0 cm） were observed in 509 subjects guided by ultrasound including 169 hepatica cysts, 328 renal cysts, 2 splenic cysts, 4 pancreatic cysts and 6 ovarian cysts. There was increased echo behind the 526 cysts. No abnormal bleeding sign in lacuna of cysts was found. During 655 centesises of 526 cysts, 647 cases were successful by only one-time application （98.8%）. The 8 cases were failed including 3 cases of dislocation of needle and 5 cases of no excretion. All 8 cases were completed after the second centesis. Altogether 486 of 526 subjects （92.4%） were recovered. The percentage of significant efficacy was 7.5% （40/526）. Conclusions The sclerosing therapy guided by ultrasound in the cysts is effective and safe, which has become the first choice of cysts treatment.
出处
《中华医学超声杂志（电子版）》
2009年第1期34-36,共3页
Chinese Journal of Medical Ultrasound(Electronic Edition)
关键词
超声检查
囊肿
腹腔
硬化疗法
Uhrasonography
Cysts
Peritoneal cavity
Sclerotheraphy
