中心静脉导管引流并分次硬化治疗肝囊肿疗效分析

Therapeutic Effect of Drainage Using A Central Venous Catheter Combined with Gradually Alcohol Sclerosis on Hepatic Cysts

目的探讨留置中心静脉导管持续引流并分次硬化治疗肝囊肿的方法及疗效。方法回顾性分析2006年1月-2011年6月住院的36例肝囊肿患者,在超声引导下应用中心静脉导管穿刺置管,持续引流并分次硬化治疗,观察其并发症,评价其疗效。结果 36例患者中,2例导管脱落、1例导管堵塞重新置管,除部分患者有疼痛、醉酒样反应外,未见其他明显不适反应及并发症。6个月后复查肝脏超声,治愈31例(囊肿消失或直径小于1 cm),显效5例(直径小于治疗前的1/2为显效)。治愈率86.1%(31/36),有效率100%。结论中心静脉导管用于治疗肝囊肿穿刺引流操作简单,费用低,疗效确切,安全性高,易于普及推广。

Objective To explore the methods and clinical efficacy of drainage using a central venous catheter combined with gradually alcohol sclerosis the hepatic cysts in old patients. Methods The clinical data of 36 cases with hepatic cysts treated by drainage using a central venous catheter with alcohol sclerosis from 2006 to 2010 were retrospectively analyzed, the therapeutic effects and complications were observed. Results There were three patients underwent re-catheter drainage for catheter off or blockage. Except pain and intoxication, there was no other complication. During a follow-up period of 6 months after treatment,31 patients were cured. The curative rate was 86.1% and the total effective rate was 100%. Conclusion The drainage using a central venous catheter combined with alcohol sclerosis is a simple, feasible, safe and effective method for patients with hepatic cysts. It is easy to popularize.