Study on effect of ultrasound guided anhydrous ethanol interposing puncture for liver cysts in the senium and presenium

Abstract

Abstract: AIM: To discuss the curative effect and security of ultrasound guided anhydrous ethanol interposing puncture for senium and presenium with different diameter of the cysts. METHODS: From January 2006 to January 2011, 121 patients with senium and presenium liver cysts were evaluated and treated at our institution. All patients were treated with ultrasound guided anhydrous ethanol interposing puncture for liver cysts. According to the different diameter, all cases were divided into four groups: group A ( 4-5 cm ) in 14 cases, B group (5.1-8 cm ) in 65 cases, group C(8.1-10 cm ) in 23 cases, group D (>10 cm ) in 19 cases, retrospective analysis and postoperative complications were made in the groups. 179 liver cysts were identified and treated, followed up three to six months and one year to observe the efficacy. RESULTS: 23 lesions with group A were treated which was underwent with 91.3% curative rate, 8.7% markedly effective rate and 100% curative effect. The obvious effect rate was significantly higher than that of other groups (P<0.05); 105 lesions with Group B were treated which was underwent with 83.8% curative rate, 10.5% markedly effective rate and 94.3% curative effect. 30 lesions with Group C were treated which was underwent with 76.7% curative rate, 13.3% markedly effective rate and 90% curative effect, and the obvious effect rate was not significantly different compared with group B (P>0.05); 21 lesions with Group D were treated which was underwent with 42.9% curative rate, 38.1% markedly effective rate and 81.0% curative effect. The obvious effect rate was significantly lower than that of other groups (P<0.05). The most common complications was pain, nausea, vomiting, abdominal distension; a few patients presented with fever, drunk like symptoms and abnormal liver function and the higher incidence of bleeding with larger cysts. CONCLUSION: This method might be reliable, safe, convenient, less complicate. It should be effective in the senium and presenium and worth to be used.

Key words: Liver cysts, Ultrasound, Anhydrous ethanol, Sclerosis treatment

CLC Number:

R575

LI Min-li¹, ZHU Ren-min¹, LIN Yong², YANG Miao-fang¹, ZHANG Xiao-hua¹. Study on effect of ultrasound guided anhydrous ethanol interposing puncture for liver cysts in the senium and presenium[J]. Chinese Journal of Clinical Pharmacology and Therapeutics, 2012, 17(4): 448-452.

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