论文部分内容阅读
目的:观察 CO_2与无水酒精作为囊肿固定剂的疗效,比较肝、肾囊肿经皮介入治疗疗效差别。22例单纯囊肿,其中肝囊肿14例,肾囊肿8例,采用经皮穿刺抽吸囊液后,注入固定剂 CO_2或无水酒精1～3次,随访2～29个月。结果:22例22个囊肿均获得不同程度的好转,一次使用 CO_2治疗的12例中8例明显好转,占66.7％,一次使用无水酒精治疗的8例中5例明显好转,占62.5％。肾囊肿8例均一次治疗后最大直径在随访期间内未超过2cm,明显好转率为100％。而肝囊肿14例中仅5例一次治疗明显好转,占35.7％。结论:1)超声引导下经皮穿刺固定术是治疗单纯肝肾囊肿的安全有效方法;2)CO_2作为肝肾囊肿的固定剂具有和无水酒精相类似的作用,且更安全;3)肾囊肿的经皮介入治疗疗效优于肝囊肿。
Objective: To observe the curative effect of CO_2 and anhydrous alcohol as cyst fixative, and to compare the therapeutic effects of percutaneous interventional treatment of liver and renal cysts. Twenty-two simple cysts, of which 14 were hepatic cysts and 8 were renal cysts. Percutaneous punctured aspirated cysts were injected with CO2 or anhydrous alcohol 1 to 3 times for 2 to 29 months. Results: Twenty-two cases of 22 cysts were improved to some extent. Among the 12 cases treated with CO 2, 8 cases improved significantly, accounting for 66.7%. Of the 8 cases treated with anhydrous alcohol, 5 cases improved significantly, accounting for 62.5%. The maximum diameter of 8 cases of renal cysts after treatment did not exceed 2 cm within the follow-up period, and the apparent improvement rate was 100%. In the 14 cases of hepatic cysts, only 5 cases showed a significant improvement in one treatment, accounting for 35.7%. Conclusion: 1) Ultrasound-guided percutaneous fixation is a safe and effective method for the treatment of simple hepatic and renal cysts; 2) CO 2 acts as a fixative for hepatorenal cysts and has the similar effect as anhydrous alcohol, and is safer; 3) Cyst percutaneous interventional treatment is superior to hepatic cysts.