介入CT肝包虫抽吸硬化治疗14例

14 Cases of CT Interventional Aspiration and Sclerosis Treatment of Liver Hydatid

目的:评价CT导引经皮注射无水乙醇治疗肝包虫的安全性和疗效.方法:14例病人经CT增强扫描及介入CT导引穿刺活检证实为囊型肝包虫.进行CT导引经皮注射无水乙醇治疗,注入量以抽出囊液的1/3为宜,滞留5分钟吸出,反复2次最后根据囊肿大小以5～50 ml无水乙醇保留囊腔内.结果:治疗后4～22个月追查,4例囊腔完全闭塞,10例示囊腔退行性改变,囊腔缩小50%～80%.结论:介入CT肝包虫抽吸硬化治疗安全、简单、疗效满意.

This article aims to evaluate the safety and curative effect of treating the liver hydatid by injecting anhydrous ethanol hypodermically under the CT guide. Method:Stopcock centesis is carried out to 14 patients by means of CT enhanced scanning and interventional CT guide so as to make sure their suffering from cyst liver hydatid,then anhydrous ethanol is injected under the CT guide and aspirated after five minutes rdeention. The injection rate is equivalent to one third of hydatid fluid aspirated. After such two repetitions are done,5-50 milliliters of anhydrous ethanol is finally kept in the cistemae. Consequence: After 4 to 22 months the trace shows 4 patients' complete cisternae abliteration and 10 patients' retrogressive cisternae alteration with 50-80% shrink of cisternae. Conclusion :CT Interventional Aspiration and Sclerosis Treatment of Liver Hydatid is secure,simple and satisfactory.