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目的评价非寄生虫性肝囊肿穿刺注射疗法的效果。方法回顾性总结施行穿刺及不同药物注射的肝囊肿病人31例。单发囊肿29例,多囊肝2例。所有病人均在 B 超引导下,经皮肝囊肿穿刺。结果乙醇注射51人次,10%葡萄糖酸钙及高渗盐水注射各4人次。囊肿小于8.0cm 时,一次治疗后90.5%的囊肿可缩小50%,12个月后囊肿全部或基本消失。囊肿直径大于8.6cm,特别是11cm 以上者,常需多次治疗。且12个月后无消失的病例。全部治疗病人无并发症或肝功异常改变。结论非寄生虫性肝囊肿穿刺注射疗法简单、安全、有效,无水乙醇的作用更为明显。
Objective To evaluate the effect of non-parasitic hepatic cyst puncture and injection therapy. Methods A retrospective review of 31 patients with hepatic cysts undergoing puncture and injection of different drugs was retrospectively reviewed. Single cysts in 29 cases, polycystic liver in 2 cases. All patients under B-guided percutaneous hepatic cyst puncture. Results 51 ethanol injection, 10% calcium gluconate and hypertonic saline injection of 4 people. Cysts less than 8.0cm, 90.5% of the cysts after a treatment can be reduced by 50%, 12 months after the cyst completely or almost disappeared. Cysts larger than 8.6cm in diameter, especially 11cm above, often require multiple treatment. And no disappearance of cases after 12 months. All treatment of patients without complications or abnormal liver function changes. Conclusion Non-parasitic hepatic cysts puncture injection therapy is simple, safe and effective, the role of ethanol is more obvious.