彩超引导下经皮无水酒精硬化治疗肝囊肿的疗效分析

刘会侠，桂普国

（杨凌示范区医院，陕西 咸阳，712100）

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摘要：

目的 探讨彩超引导下经皮无水酒精硬化治疗肝囊肿的临床效果。方法 选取我院2016年2月至2016年12月被确诊为肝囊肿的患者66例，根据患者肝囊肿直径分为研究组（直径3~8 cm）和对照组（直径>8 cm），各33例，两组均使用彩超引导下经皮无水酒精硬化治疗，比较两组患者总有效率、生化指标变化及不良反应发生率。结果 研究组治疗总有效率为96.97%，高于对照组的75.76%（P<0.05）；治疗后，两组的AST、ALT 及TBIL水平均较治疗前明显降低，且研究组各项指标均明显低于对照组（P<0.05）。研究组不良反应总发生率为12.12%，低于对照组的39.39%（P<0.05）。结论 彩超引导下经皮无水酒精硬化治疗对直径较小的肝囊肿的治疗效果较直径较大的明显，且安全性高，值得临床推广。

关键词：彩超引导经皮无水酒精硬化；肝囊肿；生化指标

中图分类号：R575文献标志码：A文章编号：2096-1413(2017)12-0053-02

Curative effect analysis of color ultrasound-guided percutaneous absolute alcohol hardening on patient with hepatic cyst
LIU Hui-xia, GUI Pu-guo
(Yangling Model District Hospital, Xianyang 712100, China)

ABSTRACT: Objective To investigate the effect of color ultrasound-guided percutaneous absolute alcohol hardening on patient with hepatic cyst. Methods From February 2016 to December 2016, 66 cases of patients diagnosed with liver cyst in our hospital were selected and divided into research group (cyst diameter 3~8 cm) and control group (cyst diameter >8 cm) according to the hepatic cyst diameter, with 33 cases in each group. All the patients performed color ultrasound -guided percutaneous absolute alcohol hardening, and the total effective rate, biochemical index change and adverse reactions rate between the two groups were compared. Results The total effective rate of the research group was 96.97%, which was significantly higher than 75.76% of the control group (P<0.05). After treatment, the levels of AST, ALT and TBIL of the two groups were significantly lower than those before treatment (P<0.05), and those of the research group were significantly lower than the control group (P<0.05). The adverse reaction rate of the research group was 12.12%, which was significantly lower than 39.39% of the control group (P <0.05). Conclusion Ultrasound -guided percutaneous absolute alcohol hardening on patient with hepatic cyst has a better effect and higher safety on small hepatic cyst than the large, which is worthy of promotion in clinic.
KEYWORDS: ultrasound-guided percutaneous absolute alcohol hardening; hepatic cyst; biochemical index

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