B超介导经皮穿刺引流联合聚桂醇注射液硬化治疗单纯性肝囊肿的效果观察

Effect observation of ultrasound guide percutaneous puncture catheteri-zation drainage combined with lauromacrogol injection in the treatment of simple liver cysts

目的探讨B超介导经皮穿刺引流联合聚桂醇注射液硬化治疗单纯性肝囊肿的临床效果及优缺点。方法选取我院2011年1月~2014年4月收治的70例单纯性肝囊肿患者,其中17例行B超穿刺及硬化治疗设为治疗组,36例行开腹肝囊肿开窗术设为开腹开窗组,17例行腹腔镜开窗术设为腹腔镜开窗组,观察三组患者的临床疗效、不良反应及复发情况。结果治疗后,三组患者的症状均得到有效缓解,治疗总有效率为100%。治疗组和腹腔镜开窗组的手术时间、引流管放置时间、住院时间、术中出血量均优于开腹开窗组,三组差异有统计学意义（P〈0.05）。治疗组出现复发1例（5.9%）,开腹开窗组为3例（8.3%）,腹腔镜开窗组为2例（11.8%）,三组的复发率差异无统计学意义（P〉0.05）。结论 B超介导穿刺引流联合硬化治疗与腹腔镜手术、开腹手术的疗效相当,而改进型B超介导穿刺引流联合硬化治疗具有创伤小、出血少、恢复快等优点,更适用于单发性囊肿、老年及无法耐受手术患者。

Objective To study the clinical effect,advantages and disadvantages of ultrasound guide percutaneous punc- ture catheterization drainage combined with lauromacrogol injection in the treatment of simple liver cysts. Methods 70 patients with simple liver cysts admitted into our hospital from January 2011 to April 2014 were selected.Among,17 cases were carried out ultrasound guide percutaneous puncture catheterization drainage combined with sclerotherapy as treatment group,36 cases were carried out open fenestration as open window group,17 cases were carried out laparo- seopic fenestration as laparoscopic group.the clinical effects,adverse reactions and relapses in three groups were ob- served. Results After treament,the symptoms in three groups were effectively relieved, and the total effective rate was 100%.The operation time,drainage tube placement time,hospital stays and blood loss during operation in treatment group and laparoscopic group were better than those of open window group.The difference was statistical significance （P〈0.05）.In treatment group,1 case （5.9%） was relapsed.In open window group,3 cases （8.3%） were relapsed.In laparo- scopic group,2 cases （11.8%） were relapsed.There was no significant difference in recurrence rate between the three groups （P〉0.05）. Conclusion Ultrasound guide percutaneous puncture：~catheterization drainage combined with lauro- macrogol injection sclerotherapy,laparoscopic fenestration and open fenestration have equivalent effect.But the advanced ultrasound guide percutaneous puncture catheterization drainage combined with lauromacrogol injection sclerotherapy has advantages in less injury,less bleeding and faster recovery.h is more suitable for patients with simple liver cysts,el- derly and unable to tolerate surgery.