【摘要】 目的:观察 CO₂与无水酒精作为囊肿固定剂的疗效,比较肝、肾囊肿经皮介入治疗疗效差别。22例单纯囊肿,其中肝囊肿14例,肾囊肿8例,采用经皮穿刺抽吸囊液后,注入固定剂 CO₂或无水酒精1～3次,随访2～29个月。结果:22例22个囊肿均获得不同程度的好转,一次使用 CO₂治疗的12例中8例明显好转,占66.7％,一次使用无水酒精治疗的8例中5例明显好转,占62.5％。肾囊肿8例均一次治疗后最大直径在随访期间内未超过2cm,明显好转率为100％。而肝囊肿14例中仅5例一次治疗明显好转,占35.7％。结论:1)超声引导下经皮穿刺固定术是治疗单纯肝肾囊肿的安全有效方法;2)CO₂作为肝肾囊肿的固定剂具有和无水酒精相类似的作用,且更安全;3)肾囊肿的经皮介入治疗疗效优于肝囊肿。更多还原

【Abstract】 Purpose:We observed and compared the therapeutic effects of CO₂ and dehy- drated ethanol as sclerosing agent,in percutaneous interventional methods for treatment of hepatic and renal cysts,Materials and methods:Twenty-two simple cysts,14 in livers,8 in kidneys,af- ter percutaneous puncture and aspiration,we instilled CO₂ or dehydrated ethanol into the cysts once, twice or thrice with followed-up for 2 to 29 months,Results:All the 22 cysts in 22 patients were better after treatment especially of them,including 8 of 12 cases（66.7%）treated with dehydrated ethanol only once.The maximum diameters of 8 renal cysts（8/8,100%）after one treatment re- duced to less than 2cm in the follow-up,comparing with only 5 of 14 hepatic cysts（5/14,35. 7%）.Conclusion:1)Pereutaneous interventional method by guidance of ultrasound is safe and ef- fective in simple hepatic or renal cyst treatment.2)CO₂ is similar to dehydrated ethanol as a scleros- ing agent.3)The therapeutic effect of simple renal cyst is better than that of hepetic cyst.更多还原