【摘要】 目的　观察比较CO2 与无水酒精作为囊肿固定剂的疗效差别。方法　 14 2例 15 9个囊肿 ,其中肝囊肿 81例 86个 ,肾囊肿 3 8例 41个 ,多囊性疾病 11例 19个 ,卵巢囊肿 12例 13个。超声引导下经皮穿刺抽吸囊液后 ,注入固定剂CO2 或无水酒精。随访并比较症状缓解程度、复发率以及并发症。结果　CO2 与无水酒精作为囊肿固定剂在缓解病人临床症状和复发率方面均无明显差异 ,而在副反应与并发症方面 ,CO2 组发生率明显低于无水酒精组。结论　①CO2 作为肝肾囊肿的固定剂具有和无水酒精相类似的作用 ,且更为安全。②超声引导下经皮穿刺固定术是治疗腹部囊肿 ,缓解多囊性疾病临床症状的安全有效方法。更多还原

【Abstract】 Objective To observe and compare the therapeutical effect of CO 2 and dehydrated ethanol as sclerosing agent. Methods One hundred and fifty nine abdominal cysts in 142 cases,including 86 simple hepatic cysts in 81 cases,41 simple renal cysts in 38 cases,19 cysts in 11 cases of polycystic diseases and 13 cysts of ovaries in 12 cases.CO 2 or dehydrated ethanol was instilled into the cysts after percutaneous puncture and aspiration.Symptoms,recurrence and complications were compared between CO 2 group and ethanol group by followed up. Results There were no difference in symptoms and recurrence between these two groups,but the complications of CO 2 group were less than that of ethanol group. Conclusion ① CO 2 is similar to dehydrated ethanol as a sclerosing agent and it is probably safer than dehydrated ethanol.② Percutaneous interventional method under guidance of ultrasound is safe and effective in treatment of abdominal cysts.更多还原