超声引导经皮穿刺硬化治疗肝泡型包虫病

目的：探索一种治疗肝泡型包虫病的新途径。方法：对５例经穿刺活检确诊的肝泡型包虫病，在超声引导下和监视下穿刺采用肿块内多点注射纯酒精法进行硬化治疗，对于巨大肿块坏死液化者抽完液化液，注入纯酒精为抽出量地１０～５０％保留于液化腔。同时服用足量的抗包虫药。结果：５例８个肿块全部有效，显效３例，肿块缩小２０％以上并有明显钙化，好转的２例肿块亦有所缩小并出现钙化征象。穿刺最多的１１次，平均５次，无一例出现腹痛、出血和感染等并发症。观察最长的５６个月，平均２９个月，未发现包虫种植扩散的任何迹象。结论：本研究认为：超声引导穿刺硬化治疗肝泡型包虫病是一种简便易行、创伤轻微、安全实用、疗效可靠的新途径

Percutaneous Sclerotherapy of Liver Hydatidosis Guided by Ultrasound

Objective:To probe a way for treating liver alveolar hydatidosis.Method:Sclerotherapy was applied to 5 patients with liver alveolar hydatidosis by percutaneous transhepatic puncture injecting pure alcohol under ultrasound guidance.Liquefaction necrosis was drawn 10 50%,then pure alcohol was injected into the cavities,5 punctures at most were needed for each patient.The patients were asked to take enough anti hydatid drugs.Results:5 cases with 8 masses were effective.3 cases had diminished of the masses size over 20% and calcified,2 cases were improved.No complication occurred.There was no sign of implantation and extension at the sites of puncture and abdominal cavities in the follow up cases.The follow up time were 29 to 56 months.Conclusion:The study indicates that this method is simple,safe and effective.