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目的分析和讨论B超引导下经皮肝穿刺置管引流及注射聚桂醇硬化治疗巨大肝囊肿的安全性及疗效。方法回顾性研究我院2009年1月~2014年6月32例穿刺及硬化治疗巨大肝囊肿患者的临床资料,分析其疗效。结果本组32例均顺利完成操作。其中10例于3个月内闭合,16例于3~6个月内闭合,4例于7~12个月内闭合,2例随访1年仍未完全闭合。所有患者症状均较前明显好转,未出现明显并发症。结论 B超引导下经皮肝穿刺置管引流及注射聚桂醇硬化治疗巨大肝囊肿安全有效,操作简单,特别适用于老年患者或不能耐受手术者。
Objective To analyze and discuss the safety and curative effect of transcatheter percutaneous transhepatic catheterization and injection of lauromacyl alcohol in the treatment of giant hepatic cysts under B-guided ultrasonography. Methods The clinical data of 32 patients with giant hepatic cysts undergoing puncture and sclerotherapy in our hospital from January 2009 to June 2014 were retrospectively analyzed. The curative effect was analyzed. Results The group of 32 patients successfully completed the operation. Among them, 10 cases closed within 3 months, 16 cases closed within 3 to 6 months, 4 cases closed within 7 to 12 months and 2 cases did not close completely after 1 year follow-up. All patients were significantly better than the previous symptoms, no significant complications. Conclusion B-guided percutaneous transhepatic catheterization drainage and injection of lauryl alcohol sclerotherapy of giant hepatic cysts safe and effective, easy to operate, especially for elderly patients or those who can not tolerate surgery.