超声引导下经皮肝穿刺无水乙醇注射治疗肝囊肿18例临床研究

目的研究超声引导下经皮肝穿刺置管引流后无水乙醇注射治疗肝囊肿临床应用价值。方法 18例肝囊肿患者,分别在超声引导下经皮肝穿刺无水乙醇注射治疗,囊肿直径3～5cm,采取直接经穿刺针抽吸囊液而后注射无水乙醇治疗的方法,囊肿直径≥5cm,采取经皮肝穿刺置管引流,待囊液明显减少后,经引流管分次注射无水乙醇的方法,无水乙醇注射剂量为囊液引流量的1/5～1/4,术后分别于1个月、3个月、6个月经腹部CT检查判定疗效,囊腔消失为临床治愈,囊腔直径缩小〉50%为临床有效,囊腔直径缩小〈50%为无效。结果超声引导下经皮肝穿刺无水乙醇注射治疗肝囊肿手术成功率100%,单发肝囊肿临床疗效优于多发肝囊肿,经皮肝穿刺置管而后经引流管分次注射无水乙醇的方法优于经皮肝穿刺直接注射无水乙醇的方法。结论超声引导下经皮肝穿刺置管引流后无水乙醇注射治疗肝囊肿具有定位准确、操作简单、创伤小、疗效确切、费用低等优点,值得临床推广。

The Clinical Research of Ultrasound-guided Percutaneous Liver Absolut ethyl Alcohol Injection for Treatment of 18 Cases of Hepatic Cysts

Objective Study on ultrasound-guided percutaneous liver absolut ethyl alcohol injection in the treatment of hepatic cysts clinical applications. Methods 18 easesof hepatic cyst patients, Respectively in ultrasound-guided by percutaneous liver ab- solut ethyl alcohol injection treatment, cyst diameter is less than 5cm, take directly by puncture needle pumping sucking cystic liquid then injection absolut ethyl alcohol one-time treatment of method, cyst diameter is greater than is equal to 5 cm, take by puncture needle reset tube drainage, after cystic liquid clear reduced, by drainage tube points times injection absolut ethyl alcohol of method, absolut ethyl alcohol injection dose for cystic liquid introduction flow of 1/5-1/4, after a month of the operation ,by computer tomography check found effect, cystic cavity disappeared for clinical cure, Balloon lumen narrowing in diameter is greater than the 50% a clinical effective, vesicle lumen narrowing in diameter is less than 50% is not valid. Results Percutaneous ultrasound-guided percutaneous ethanol injection in the treatment of hepatic cyst surgery success rates 100%, solitary liver cyst： efficacy superior to multiple liver cysts, percutaneous liver puncture and drainage pipe absolut ethyl alcohol injection method supe- rior to direct percutaneous liver puncture percutaneous absolut ethyl alcohol injection methods. Conclusion Ultrasound-guided percutaneous transhepatic catheter drainage after anhydrous ethanol injection for treatment of traumatic liver cyst is a small, fast, repeatable recovery, safe and effective minimally invasive treatment methods, and clinical outreach.