| 张庆,钱林学,贺文,龚海马,贵玉,谭小蕖,李彦娟.单纯性肝肾囊肿三种酒精硬化治疗方法临床疗效评价[J].中国医学影像技术,2007,23(10):1555~1557 |
| 单纯性肝肾囊肿三种酒精硬化治疗方法临床疗效评价 |
| The effect of three kinds of alcohol sclerotherapy in simple hepatic and kindey cysts |
| 投稿时间：2007-06-23 修订日期：2007-09-10 |
| DOI： |
| 中文关键词: 肝囊肿 肾囊肿 酒精 超声引导 |
| 英文关键词:Hepatic cyst Kidney cyst Alcohol Ultrasonic guidance |
| 基金项目: |
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| 中文摘要: |
| 目的 评价三种单纯性肝肾囊肿酒精硬化治疗方法的疗效。方法 将单纯性肝肾囊肿患者随机分成三组:①常规组:抽净囊液后,注入抽出囊液量25%的无水酒精(最大量不超过60 ml),保留15 min后抽净残液。②保留组:在常规法基础上,抽净残液后根据囊腔不同大小再注入5~10 ml无水酒精永久保留。③置换组:抽净囊液后,用无水酒精反复冲洗囊腔至抽出液清亮,最后将残液抽净。结果 ①术后1年各组有效率和治愈率分别为:常规组:87%和63%;保留组:92%和81%;置换组:100%和93%。置换组疗效优于其他两组(P<0.01)。②经ROC评价显示,三种硬化方法ROC曲线下的面积和一次治疗所能治愈囊肿的最大直径分别为:常规组:0.807和8.2 cm;保留组:0.824和8.9 cm;置换组:0.954和9.6 cm。结论 单纯性肝肾囊肿,采用无水酒精反复置换囊液的硬化方法,疗效优于其他两种方法,更加有效,且安全、简便易行。 |
| 英文摘要: |
| Objective To evaluate the efficiancy of three alcohol sclerotherapy programs in simple hepatic and renal cysts. Methods All patients were divided into 3 groups randomly. ①Conventional group: Anhydrous alcohol, as much as 25% of aspirated cystic fluid (at most 60 ml), was injected into the cystic cavity, retaining for 15 minutes, then aspirated completely. ②Retaining group: The patients were treated as group 1 at first, then another 5-10 ml anhydrous alcohol was injected without aspiration. ③Irrigating group: The cystic cavity was irrigated over and over with alcohol until cystic fluid was clear, which was finally aspirated completely. Results ①One year after sclerotherapy, the rate of efficiency and cure in three groups was as follows: group 1, 87% and 63%; group 2, 92% and 81%; group 3, 100% and 93%. The effectiveness rate in group 3 was significantly higher than others (P<0.01). ②To evaluate the sclerotherapy by ROC curve, the area under curve and the largest diameter which correspond to the cysts cured through single-session were as follows: group 1∶0.807, 8.2 cm; group 2∶0.824, 8.9 cm; group 3∶0.954, 9.6 cm. Conclusion Irrigating sclerotherapy is effective, simple and safe for simple hepatic and renal cysts. |
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