| 肝囊肿的超声介入治疗 |
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| 引用本文： | 诸蓓蕾,刘利民,吴同法. 肝囊肿的超声介入治疗[J]. 上海医学影像, 1993, 2(1): 7-9 |
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| 作者姓名： | 诸蓓蕾 刘利民 吴同法 |
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| 作者单位： | [1]上海医科大学附属中山医院超声诊断科，200032 [2]上海医科大学附属中山医院消化内科，200032 |
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| 摘 要： | 作利用医用无水乙醇具有使细胞质脱水、凝固坏死的特性对20例肝囊肿进行了超声介入治疗．其中，男性7例．女性13例、平均年龄57岁。囊肿为20～150mm不等。经一或多次重复治疗后．随访3～6个月发现：8例肝囊肿彻底消失．12例肝囊肿有所缩小(P<0.01)。无水乙醇作用于囊肿内壁上皮细胞．使该细胞凝固坏死，失去其分泌功能．达到治疗目的。作认为．25％的替代容量最为理想，但最多不宜超过20ml，它既能与囊肿内壁的各个部份接触．又不致于产生过高的局部压力使乙醇外渗．无水乙醇的超声介入治疗是肝囊肿治疗中一个简便、实用且安全的方法．可替代传统的开放引流及外科手术切除．值得临床推广。
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| 关 键 词： | 肝囊肿 超声检查 介入治疗 无水乙醇 |
Interveniet Treatment in Hepatic Cysts with Ultrasound |
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| Zhong Shan Hospital,Shanghai Medical University. Interveniet Treatment in Hepatic Cysts with Ultrasound[J]. Shanghai Medical Imaging, 1993, 2(1): 7-9 |
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| Authors: | Zhong Shan Hospital Shanghai Medical University |
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| Affiliation: | Zhong Shan Hospital,Shanghai Medical University Department of Diagnostic Ultrasound Zhu Bei-lei Xu Zhi-zhang Liu Li-min Department of Medicine Wu Tong-fa |
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| Abstract: | 20 patients with hepatic cysts were successfully treated with percutaneous aspiration and temporary direct injection of absolute alcohol into the cyst cavities. It is ideal to treat with 25% replacement volum of alcohol. The larger cysts may require more than one course treatment. On follow-up examinations of six months, eight cysts were disappered, other were reduced apparently. Minor complications of transient pain, temperature elevation, and hemorrhage into a cyst occurred. No major complications were encountered. The results would indicate that aspiration and injection of alcohol is the treatment of choice for hepatic cysts. |
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| Keywords: | Hepatic cyst Alcohol In-tervenient treatment |
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