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超声引导下经皮穿刺置管多次灭能术治疗囊肿的价值
引用本文:高景春,赵士军,马秀青. 超声引导下经皮穿刺置管多次灭能术治疗囊肿的价值[J]. 临床超声医学杂志, 2008, 10(8)
作者姓名:高景春  赵士军  马秀青
作者单位:河北省唐山市丰润区人民医院介入放射科,064000;河北省唐山市丰润区人民医院超声科,064000
摘    要:
目的 探讨安全高效的囊肿治疗方法.方法 对65例(肝、肾、卵巢)囊肿患者, 采用超声引导下穿刺置入COOK公司产7F引流管行囊肿穿刺、引流、灭能术治疗,并留置引流管2~3 d,用无水乙醇对囊肿壁灭能2~3次.结果 随访1.5年,65例患者中囊肿消失痊愈61例,痊愈率93.8%;囊肿明显缩小(直径<1/3)但仍残有囊腔3例,总有效率98.5%;复发1例.无腹腔出血及化学性腹膜炎发生.结论 应用超声引导下经皮穿刺置管多次灭能术治疗囊肿方法安全有效.

关 键 词:囊肿  穿刺术  置管  灭能  多次

The value of repeatedly treatment of cysts with percutaneous puncture and catheterization under ultrasonic guidance
GAO Jingchun,ZHAO Shijun,MA Xiuqing. The value of repeatedly treatment of cysts with percutaneous puncture and catheterization under ultrasonic guidance[J]. Journal of Ultrasound in Clinical Medicine, 2008, 10(8)
Authors:GAO Jingchun  ZHAO Shijun  MA Xiuqing
Abstract:
Objective To explore a safe and effective method for cysts treatment.Methods 65 cases with cysts(liver, kindey,ovaries)were treated by percutaneous puncture under ultrasonographic guidance and placing a 7F catheter(made in Cook com- pany)to drain and destroy infectivity for cysts,the catheter was placed fur 2d to 3d and destroy infectivity treatment was performed for twice to 3 times with anhydrous ethanol.Results All the patients were followed up for 1.5 years.Cysts disappeared in 61 cases (61/65,93.85%).Diameter of cysts were reduced under 1/3 in 3 cases.Total effective rate was 98.5%.1 case was recrudesced.No bleeding or chemical peritonitis happened.Conclusion Destroying infectivity repeatedly for cysts with percutaneous puncture and cath- eterization under ultrasonic guidance is a safe and effective method to treat cysts.
Keywords:Cyst  Paracentesis  catheterization  Destroy infectivity  multiple
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