超声引导下老年肝肾囊肿抽吸固化治疗效果观察

目的探讨超声引导下应用聚桂醇和无水乙醇抽吸固化治疗老年肝肾囊肿的效果。方法选取2013年1月至2014年12月濮阳市中医院超声介入科收治的老年肝肾囊肿患者116例,按照固化治疗方法分为聚桂醇组和无水乙醇组,各58例,聚桂醇组在超声引导下实施囊肿积液抽吸和聚桂醇固化治疗,无水乙醇组在超声引导下实施囊肿积液抽吸和无水乙醇固化治疗,比较两组患者住院时间、治疗效果和不良反应。结果聚桂醇组住院时间(5.78±0.89)d,治疗有效率89.66%(52例),无水乙醇组住院时间(6.16±1.45)d,治疗有效率94.83%(55例)),两组间差异无统计学意义(P0.05)。聚桂醇组发生不良反应2例,无水乙醇组9例,两组比较差异有统计学意义(P0.05)。结论超声引导下应用聚桂醇和无水乙醇抽吸固化治疗老年肝肾囊肿,均具有疗效确切、操作简便的特点,但应用聚桂醇不良反应发生率较无水乙醇明显降低,可作为老年肝肾囊肿抽吸固化治疗的首选。

Efficacy of ultrasound-guided aspiration and sclerotherapy for hepatic and renal cysts in the elderly

Objective To investigate the efficacy of ultrasound-guided aspiration and sclerotherapy with lauromacrogol and ethanol in treatment of hepatic and renal cysts in the elderly. Methods A total of 116 elderly patients with hepatic and renal cyst admitted in our department from January 2013 to December 2014 were subjected in this study. According to their sclerotherapeutic agents, they were divided into lauromacrogol and ethanol groups, with 58 cases in each group. Ultrasound-guided aspiration and sclerotherapy with lauromacrogol and ethanol were respectively given to corresponding patients. Length of hospital stay, therapeutic outcomes and side effects were observed and compared between the 2 groups. Results The length of hospital stay was (5.78±0.89)d, and the effective rate was 89.66% (52/58) for the lauromacrogol group. And the length was (6.16±1.45)d and the rate was 94.83%(55/58) for the ethanol group. No significant differences were seen between the 2 groups (P>0.05). There were 2 cases of adverse reaction in the former group, and 9 in the latter, with statistical differences between the 2 groups (P<0.05). ConclusionUltrasound-guided aspiration and sclerotherapy, no matter with lauromacrogol or ethanol, is effective and easy to operate, in treatment of hepatic and renal cysts in the elderly. But the former agent has lower incidence of adverse reaction, so it is the best choice for elderly patients with hepatic and renal cyst.