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我院于1992年1月～1996年1月,对16例老年人肝囊肿采用B超引导下经皮肝穿置管引流注射四环京治疗,疗效满意,报告如下.临床资料1.一般资料 男9例,女7例;年龄56～75岁,平均67岁.囊肿直径8～20cm,其中单发13例,位于肝右叶9例,肝左叶4例,多发3例.均以右上腹胀痛不适就诊,经B超诊断11例,CT诊断5例.AFP检查均为阴性.合并冠心病3例,心律失常1例,肺气肿1例,糖尿病1例.置PTC管1根13例,2根3例.2.治疗方法 采用SSD-610型超声诊断仪,中央孔型穿刺线阵探头.频率3.5MHz,穿刺针及套管为国产9号PTC针,硬化剂为注射用盐酸四环素.根据囊肿部位,B超定位穿刺点,患者平卧或左侧卧位,常规消毒铺单,局麻后,穿刺点切小口、以PTC套管针快速穿人囊肿中央,拨出穿刺针,缝合固定套管.引流囊液送生化、细菌培养和细胞学检查.术后注射硬化剂,配成10%四环素利多卡因溶液,隔日沿套管注入一次10-20ml,一般需3-5次,其中1例注射8次.无引流液后拔管.
In our hospital from January 1992 to January 1996, 16 elderly patients with hepatic cysts were treated with B-guided percutaneous transhepatic perforating catheter drainage and Sihuan Beijing. The results were satisfactory. The report is as follows. Clinical data 1. General information 9 males and 7 females; aged 56-75 years old, average 67 years old. Cyst diameter 8 ~ 20cm, of which 13 cases in a single, located in the right lobe of the liver in 9 cases, 4 cases of the left lobe of the liver, multiple 3 cases. Are all to the upper right Abdominal pain is not suitable for treatment, 11 cases were diagnosed by B-ultrasound, 5 cases were diagnosed by CT, and AFP was negative. There were 3 cases of coronary heart disease, 1 case of arrhythmia, 1 case of emphysema, 1 case of diabetes mellitus, and 1 case of PTC tube. Example, 2 cases and 3 cases. 2. Treatment method: SSD-610 type ultrasonic diagnostic instrument, central hole-type puncture linear array probe, frequency 3.5MHz, puncture needle and cannula is domestic No. 9 PTC needle, and hardener is hydrochloric acid for injection Tetracycline. According to the site of cysts, B-ultrasonic positioning puncture site, patient supine or left lateral decubitus, routine disinfection of shop, after local anesthesia, puncture point cut small mouth, quickly wear PTC trocar puncture the central cyst, dial out the puncture needle , Suturing the fixed cannula. Drainage cyst fluid delivered to biochemical, bacterial culture and cytology. Postoperative injection of sclerosants, dubbed 10% tetracycline lidocaine solution, the next day along the sleeve into a 10-20ml, a Required 3-5 times, 1 case of 8 injections. No drainage after extubation.