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目的进一步探讨超声引导乙醇治疗肝囊肿的治疗方法,探讨疗效更好、更安全的操作改进。方法总结分析468例,置管引流及乙醇总量不予控制为主要方法改进。所有病例均随访3-6个月。结果肝囊肿468例共483个囊肿,治愈427个,有效40个,无效16个。治疗总有效率约96.7%。其中术中术后出现轻度腹部不适28例,术中囊内出血6例,术后腹腔积血3例。结论超声引导下乙醇直接冲洗或置管引流冲洗治疗肝囊肿简便易行,疗效肯定。
Objective To explore the treatment of hepatic cyst guided by ultrasound guided ethanol and to explore the better and safer operation improvement. Methods A total of 468 cases were analyzed, the main method was to improve the catheter drainage and the total amount of ethanol was not controlled. All cases were followed up for 3-6 months. Results A total of 488 cysts of 468 liver cysts were cured, 427 were cured, 40 were effective and 16 were ineffective. The total effective rate of about 96.7%. There were 28 cases of mild abdominal discomfort after operation, 6 cases of intra-operative sac-like hemorrhage and 3 cases of postoperative intra-articular hemorrhage. Conclusion Ultrasound-guided ethanol direct flushing or catheter drainage flushing treatment of hepatic cysts is simple and easy, and the curative effect is definite.