超声引导下治疗非寄生虫性肝囊肿141例疗效分析

Management of 141 cases of non-parasitic hepatic cysts under the guidance of ultrasonic examination

目的 :分析超声引导下无水酒精治疗非寄生虫性肝囊肿 141例的疗效。方法 :采用超声引导下肝穿刺抽囊液后 ,反复注入无水酒精治疗非寄生虫性肝囊肿 141例 ,其中单发 77例 ,多发 6 4例 ,肝左叶 36例 ,右叶 10 5例 ,肝囊肿最大径 2 4cm ,一次抽液量最多 2 2 0 0ml。结果 :治疗效果与囊径大小有明显的关系 ,直径小于 10cm ,疗效较好 ,大于 10cm者疗效较差。结论 :非寄生虫性肝囊肿有症状的患者或囊径大于 6cm者应积极治疗。

Objective:To analyse the effectiveness of injection of pure ethanol into the cystic lumen under the guidance of ultrasonic examination.Methods:141 cases of non-parasitic hepatic cysts were treated with injection of pure ethanol into the cystic lumen under the guidance of ultrasonic examination.Among this patients,77 cases had solitary cyst and 64 cases had multiple cysts ,36 cases in the left lobe of the liver and 105 cases in the right lobe,the diameter of the biggest lesion was 24cm.The once largest amount of aspirated fluid in a single cyst was 2200ml.Results:There was an obvious relationship between the diameter of cyst and the effectietness.The effective is better if the diameter of the cyst is lower than 6cm.Conclusion:Patients should be treated timely if he had any symptoms or the diameter of the cyst was larger than 6cm.