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目的:探讨B超引导介入治疗肝巨大囊肿的方法。方法:16例肝巨大囊肿在B超引导下行经皮穿刺抽液注入无水乙醇。结果:16例肝巨大囊肿穿刺治疗后,均得到随访,6个月内腹部不适症状完全消失;术后第3个月复查B超,囊肿完全消失6例;囊肿缩小,最大直径小于3 cm的有9例,1例在0.5 a内复查B超肝巨大囊肿虽然缩小,但最大直径有6.3 cm,予再次穿刺治疗;12个月后复查B超16例肝巨大囊肿均完全消失。结论:经皮穿刺抽液注入无水乙醇方法简便易行,安全可靠,创伤小,是治疗肝巨大囊肿有效安全的方法之一。
Objective: To explore the method of B-guided interventional treatment of giant cysts in the liver. Methods: Sixteen cases of giant cysts of liver were perfused with percutaneous puncture and infused with absolute ethanol under B-mode ultrasound. Results: Sixteen cases of huge cysts of liver were punctured and were followed up. Abdominal discomfort disappeared completely within 6 months. In the third month after operation, ultrasound was performed and the cyst completely disappeared in 6 cases. The cyst was reduced and the maximum diameter was less than 3 cm There were 9 cases and 1 case was reviewed within 0.5 year. Although the giant cyst of B-type liver was narrowed, the maximum diameter was 6.3 cm, which was punctured again. After 12 months, 16 cases of giant cysts of B-type liver were completely disappeared. Conclusion: Percutaneous puncture and infusion of absolute ethanol is simple and safe, safe and reliable, and less traumatic. It is one of the effective and safe methods for the treatment of giant cysts in the liver.