先天性肝囊肿196例治疗体会

目的 探讨先天性肝囊肿的治疗方法及其效果。方法 回顾性分析我院自1999年1月至2004年1月收治的196例先天性肝囊肿患者的临床资料。结果 注射无水乙醇治疗73例：出现并发症3例(4％)，复发6例(8％)。开腹手术64例：无并发症发生，复发1例(1．5％)。腹腔镜手术58例：出现并发症1例(1．5％)，复发2例(3％)。1例行原位肝移植术，术后2年仍存活。结论 先天性肝囊肿的治疗方法包括：注射硬化剂(无水乙醇)疗法、开腹手术、腹腔镜手术、肝移植术。临床上应根据患者的具体情况选择合适的治疗方法。

Experience of therapy for 196 patientes with symptomatic congenital cyst of liver

Objective To investigate method of therapy in patients with symptomatic congenital cyst of liver.Methods One hundred ninty-six cases of congenital cyst of liver admitted from Jan.1999 to Jan.2004 were reviewed retrospectively.Results In jection of ethanol(73 cases):complication 3 cases(4%),recurrence 6 cases,(8%).Open suegery(64cases):no complication,recurrence 1 cases,1.5%).Laparoscopic surgery(58cases):complication 1 cases(1.5%) recurrence 2 cases(3%).One patient was treated with liver transplatation.Conclusion Methods of therapy for congenital cyst of liver include:in jection of ethanol into the cyst cavity,open suegery,laparoscopic surgery liver transplantation.We should excerpt suitable methed for patients.