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目的总结引流联合硬化治疗巨大肝囊肿的临床效果。方法对46例巨大肝囊肿采用超声引导下经皮穿刺置管引流联合聚桂醇硬化治疗(A组),另外巨大肝囊肿34例采用引流联合无水乙醇硬化治疗(B组),比较两组疗效及不良反应发生情况。结果所有患者均完成6个月随访,疗效满意。A、B组总有效率相仿(97.8%vs.97.1%,P>0.05)。A组并发症发生率低于B组(8.7%vs.74.5%)(P<0.05)。A组发生囊内少许出血2例,穿刺部位轻度不适2例;B组发生囊内少许出血2例,出现腹部中重度疼痛、恶心、心悸、头晕、面红等14例,腹部轻度胀痛、不适10例。结论超声引导下经皮穿刺置管引流联合聚桂醇硬化治疗巨大肝囊肿操作简单、安全有效,不良反应少。
Objective To summarize the clinical effect of drainage combined with sclerosis in treating giant hepatic cysts. Methods Forty - six cases of giant hepatic cysts were treated by ultrasound - guided percutaneous catheter drainage combined with laurel sclerosis (group A). In addition, 34 cases of giant hepatic cysts were treated with drainage and absolute ethanol sclerotherapy (group B) Efficacy and adverse reactions occurred. Results All patients completed 6 months follow-up with satisfactory results. The total effective rates in groups A and B were similar (97.8% vs.97.1%, P> 0.05). The incidence of complications in group A was lower than that in group B (8.7% vs 74.5%) (P <0.05). A group of intracapsular hemorrhage occurred in 2 cases, puncture site mild discomfort in 2 cases; B group occurred a small intracranial hemorrhage in 2 cases, severe abdominal pain, nausea, palpitations, dizziness, redness and other 14 cases, mild abdominal bulging 10 cases of pain and discomfort. Conclusion Ultrasound-guided percutaneous catheter drainage combined with laurel sclerotherapy of giant hepatic cysts is simple, safe and effective, with fewer adverse reactions.