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目的探讨CT引导下经皮穿刺肝囊肿的硬化治疗及进一步提高肝囊肿介入治疗的疗效。方法本组57例患者均在CT引导下经皮穿刺肝囊肿,对于直径<10 cm的用穿刺针直接抽出囊液,直径>10 cm置入引流管引流,然后注入适量无水酒精硬化治疗,术后随访0.5~1年,观察疗效。结果肝囊肿穿刺准确率100%,穿刺囊肿63个,穿刺次数64次,其中16个囊肿置管引流。本组有效率96.5%,其中25例囊肿消失,28例明显缩小,2例轻度缩小,2例治疗失败,均未出现严重的并发症。结论在CT引导下经皮穿刺肝囊肿硬化治疗,定位准确、安全、创伤小、疗效好。
Objective To investigate CT-guided sclerosing treatment of percutaneous puncture of liver cysts and further improve the efficacy of interventional treatment of hepatic cysts. Methods 57 patients in this group were percutaneously punctured hepatic cysts under the guidance of CT. For the diameter of <10 cm, the cyst fluid was directly withdrawn by the puncture needle and the diameter of the cyst was> 10 cm. The drainage tube was drained and then injected with appropriate alcoholic sclerosis treatment. Follow-up 0.5 to 1 year after operation to observe the curative effect. Results Hepatic cyst puncture accuracy of 100%, 63 puncture cysts, puncture 64 times, of which 16 cyst drainage. The effective rate of 96.5% in this group, of which 25 cases of cysts disappeared, 28 cases were significantly reduced, 2 cases slightly reduced, 2 cases failed to treat, no serious complications. Conclusion CT guided percutaneous hepatic cyst sclerosis treatment, accurate positioning, safety, less trauma and good curative effect.