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作者对13例肝包病人进行了经皮抽吸,其中3例随后做了经皮引流,经皮抽吸是在超声波(US)和电子计算机断层摄影(CT)的引导下用22-19号穿刺针进行穿刺的。通过对穿刺液的分析,在13例病人中9例确诊为包虫囊肿,其中有囊膜碎片7例,有头节者2例,有小钩者2例。在穿刺结果阴性的4例病人中,1例是通过外科手术得以确诊的,在其他3例中有不同程度的免疫反应。在穿刺病人中有2例可观察到轻微的过敏反应伴短暂的瘙痒。引流的3例病人采用了5F-8.3F导管,并向囊腔内注射了杀头节剂。在引流过程中未发生并发症,引流后6个月至1年内未见复发。
The authors percutaneously aspirated 13 patients with liver disease, 3 of whom subsequently underwent percutaneous drainage. Percutaneous aspiration was performed using ultrasound (US) and computed tomography (CT) with 22-19 Puncture needle puncture. Through the analysis of the puncture fluid, 9 of 13 patients were diagnosed as hydatid cysts, including 7 cases of capsular membrane fragments, 2 cases of head section and 2 cases of small hooks. Of the 4 patients who had negative puncture results, one was diagnosed surgically and the other three had varying degrees of immune response. Two of the punctured patients observed a mild allergic reaction with transient pruritus. 3 cases of drainage of patients with a 5F-8.3F catheter, and injected into the cysts to kill head agent. No complications occurred during drainage and no recurrence occurred within 6 months to 1 year after drainage.