超声导向无水酒精注射治疗肝囊肿

PERCUTANEOUS ASPIRATION AND ABSOLUTE ALCOHOL SCLEROTHERAPY BY ULTROSOUND GUIDE FOR HEPATIC CYSTS

作者报告了在B超引导下经皮肝穿刺无水酒精注射治疗肝囊肿21例。囊肿直径平均7.2cm,囊液量平均240ml。无水酒精注射次数1～3次,术后2～6个月囊肿完全消失18例。远期随访平均36个月,治愈18例,另3例仍在治疗观察中。对肝囊肿合并胆瘘或感染的3例病人,作者采用穿刺置管法,待胆瘘闭合,感染控制后再注入无水酒精,效果亦满意。

21 patients with congenital hepatic cysts were treated by ultrosound guided percutaneous aspiration and temporary injection of absolute alcohol into the cysts. The aspirated volume of cyst fluid was 240 cc as a mean. Cysts were injected for 1 to 3 times. In 18 cases,the cysts disappeared 2 to 6 months after sclerotherapy. No complication occurred in this series. 18 patients were followed up with an average of 3 years,with no recurrence found. Other 3 patients are still undergoing treatment and observation. 3 patients who had biliary fistula or infection,were treated firstly by percutaneous catheter drainage,and then sclerotherapy were applied. The results were satisfactory.