引用本文:张 卓,曹子龙,胡建立,申铉三.腹腔镜开窗引流术和囊肿穿刺引流联合硬化剂治疗肝囊肿的临床疗效观察[J].中国临床新医学,2015,8(11):1039-1041.
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腹腔镜开窗引流术和囊肿穿刺引流联合硬化剂治疗肝囊肿的临床疗效观察
张 卓,曹子龙,胡建立,申铉三
028000 通辽,内蒙古民族大学附属医院普外科
摘要:
[摘要] 目的 观察腹腔镜开窗引流术和囊肿穿刺引流联合硬化剂治疗肝囊肿的临床疗效。方法 回顾性研究2010-05~2014-02收治的60例肝囊肿患者的临床资料,将行腹腔镜开窗引流术的30例作为A组,行肝囊肿穿刺引流术+硬化剂的30例作为B组,术后随访1年,对两组疗效进行对比。结果 B组的手术时间、术后下床活动时间、住院时间短于A组(P<0.05),且术后达到缓解的效果相同,术后引流管放置时间、并发症的发生率差异无统计学意义(P>0.05)。结论 对于肝囊肿的治疗应遵循个体化选择治疗,根据患者不同类型的病情,综合各种情况后选取最佳治疗方式。
关键词:  肝囊肿  腹腔镜  穿刺引流
DOI:10.3969/j.issn.1674-3806.2015.11.10
分类号:R 657.3
基金项目:
Clinical observation on application of different operation methods in the treatment of hepatic cyst
ZHANG Zhuo, CAO Zi-long, HU Jian-li, et al.
Department of General Surgery, the Affiliated Hospital of Inner Mongolia Nationalities University, Tongliao 028000, China
Abstract:
[Abstract] Objective To explore the effect of laparoscopic drainage and windowing cyst puncture drainage joint hardener on hepatic cyst.Methods Sixty patients with hepatic cyst were retrospectively studied from May 2010 to February 2014,and were divided into liver cyst puncture drainage joint hardener group(n=30),and laparoscopic fenestration of liver cyst lead group(n=30).The curative effect of the two groups were compared with a postoperative follow-up of 1 year.Results The operation time,postoperative bed time and the length of hospital stay were less in the laparoscopic group than those in the other group(P<0.05).The postoperative drainage time of tube placement and the incidence of complications were not significantly different between the two groups(P>0.05).Conclusion The treatment of hepatic cysts should be individualized and the appropriate treatment should be selected according to the different types of patients and situations.
Key words:  Liver cyst  Laparoscope  Puncture drainage