先天性肝囊肿(附30例报告)

回顾收治的３０例先天性肝囊肿病例，结合文献着重讨论了诊断中的注意事项和治疗方法。认为Ｂ超、ＣＴ及ＭＲＩ对其诊断及协助处理有价值。治疗上比较了单纯穿刺抽液、穿刺抽液加硬化剂注入、囊肿开窗术、囊肿切除或部分肝切除等方法，认为对于单纯性先天性肝囊肿病例采用超声导引下穿刺注射硬化剂（６例）或囊肿开窗术治疗（１５例），均可取得优良效果。本组中有１例发生恶变。

CONGENITAL CYSTIC DISEASE OF THE LIVER (REPORT OF 30 CASES)

The authors analysed the medical records of 30 patients with congenital cystic disease of the liver treated in this hospital and with a review of the articles some problems of diagnosis and treat ment are discussed. B-altrasonic scanner (B-US), computerized tomographic scanning and magnetic reso nance imaging appeared to be most helpful in diagnosing and treating this disease. After comparing dif ferent treatments, such as aspiration, alcohol sclerotherapy, fenestration, cyst resection and partial hepa tectomy, the arthors state that the best results could be achieved by alcohol sclerotherapy under B-US guidence (6 cases) or fenestration (15 cases) with no postoperative complication. Malignant change was found in one patient of this group.