老年人肝肾囊肿硬化疗法的改良——附两种方法的疗效比较

Liver and renal cysts treated with improved sclerosis therapy in the old people

目的 对Bean’s肝肾囊肿硬化疗法加以改良,并比较两种方法的临床疗效。方法 135例肝肾囊肿在CT引导下穿刺硬化治疗,采用Bean’s法治疗57例,改良法治疗78例,改良法是在Bean’s基础上有两点改进:1,穿刺囊肿内插管。2,用50％葡萄糖代替无水酒精作硬化剂。结果 Bean’s法有41例一次完成治疗(71.93％),随访治愈率80.70％,有21例治疗时出现中度以上疼痛。改良组中77例一次完成治疗(98.72％),治愈率100％,病人无任何不适感及并发症。改良组治愈率明显比Bean’s组高(P<001)。结论 改良法明显优于Bean’s,建议推广应用。

Purpose To improve Bean' s method and to compare the effectiveness of Bean' s method with that of improved method. Methods One hundred and thirty five patients had been treated with percutaneous puncture sclerosis therapy. They were 57 cases in Bean' s group and 78 cases in improved group. Imprved method had two alterations basis on the Bean s method. One was to insert a catheter into the cyst, another was 50% glucose instead of. Results The success rate achieved in one session were 41 of 57 cases (71.93%) with Bean' s method and 77of 78 cases (98. 72%) with improved method. The cure rate were 46 of 57 (80.70%) in Bean's group and all were cured (100%) in improved group. Much pain was occurred in 21 patients when they were treated with Bean's method. No complcations occurred in patients treated with improved method. The cure rale was significantly higher in imprved group than that in Bean' s group( P < 0.01). Conclusions The cure rate of improved method is higher than that of Bean' s group and there is no complcations.