摘要
目的评价CT导向经皮穿刺注射无水酒精硬化治疗对肝囊肿的疗效。方法36例肝囊肿患者(30例单发,6例多发)均经CT导向经皮穿刺针吸与注射无水酒精硬化治疗。疗效判定标准是依据囊肿经治疗后较术前缩小程度分类4级,即0级:囊肿大小无变化;Ⅰ级:囊腔缩小<1/3;Ⅱ级:囊腔缩小≥1/3但≤2/3;Ⅲ级:囊腔消失。结果术后除3例单发小囊肿患者失访外,其余33例(36个囊肿)均经随访1个月～2年。随访发现36个囊肿中0级者3个,Ⅰ级者5个,Ⅱ级者10个,Ⅲ级者18个。本组总有效率为91.7%(33/36)。结论肝囊肿CT导向经皮穿刺针吸与注射无水酒精硬化治疗其操作简便、安全,疗效显著,是肝囊肿保守性治疗的一种颇具应用前景的介入性技术,值得向基层医院推广。
Objective To evaluate the effects of CT guided percutaneous aspiration and sclerotherapy on hepatic cysts.Methods Thirty-six patients with single (30)and multiple hepatic cysts (6) underwent CT guided percutaneous aspiration and sclerotherapy with injection of absolute alcohol.The identified criterion of the therapeutic efficacy was based on the post-operative volumetric shrinkage of hepatic cyst compared with preoperation,and was divided into 4 grades,i.e.grade O:Cyst size non-change;grade l:Cyst cavity shrink< 1/3;gradeⅡ:Cyst cavity shrink≥1/3 but ≤2/3;grade Ⅲ:cyst cavity vanish.Results After the operation,33 patients with 36 hepatic cysts underwent follow-up for one month～two yesrs,except 3 patients with small single hepatic cyst were not followed-up.The study showed that there were 3 of grade O,5 of gradeⅠ,10 of gradeⅡ,and 18 of gradeⅢ in 36 hepatic cysts after the operation.The effective rate was 91.7% in the group.Conclusion CT guided percutaneous aspiration and sclerotherapy of hepatic cyst has many advantages such as the operation is simple,safe and the efficacy is significant so that it is a promising interventional technigue in the conservative treatment of hepatic cyst and is worth to recommend towards primary hospital.
出处
《实用医学影像杂志》
2002年第2期116-118,共3页
Journal of Practical Medical Imaging
