Comparison of efficacy between sodium morrhuate and lauromacrogol as sclerosing agents in treatment of hepatic cyst
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摘要:
目的比较鱼肝油酸钠、聚桂醇硬化治疗肝囊肿的疗效。方法选择2009年1月-2013年5月在广西桂东人民医院住院的74例肝囊肿患者,根据入院日期,按单双日分为2组,A组46例患者经皮肝穿刺抽干囊肿液后向囊肿腔中注入鱼肝油酸钠溶液黏连硬化囊肿腔,B组28例经皮肝穿刺抽干囊肿液后向囊肿腔中注入聚桂醇溶液黏连硬化囊肿腔。入院治疗后,比较术中及术后两组患者疼痛的发生率;随访比较两组患者自手术日算起1年内的肝囊肿复发率。组间比较采用χ2检验。结果经治疗后,A组1年内复发5例(10.87%),B组1年内复发2例(7.14%),两组相比差异无统计学意义(χ2=0.283,P>0.05)。A组疼痛发生率明显高于B组,差异有统计学意义(χ2=5.258,P<0.05)。结论聚桂醇硬化治疗肝囊肿疗效与鱼肝油酸钠相同,可常规使用副作用小的聚桂醇做为硬化剂。
Abstract:Objective To compare the efficacy of sodium morrhuate versus lauromacrogol in the treatment of hepatic cyst. Methods Seventy- four patients with hepatic cyst who were admitted to our hospital from January 2009 to May 2013 were enrolled as subjects and divided into two groups. After the cystic fluid was drained by percutaneous liver biopsy,sodium morrhuate solution was injected into the cystic cavity for adhesion and sclerosis in 46 patients in group A,and lauromacrogol solution was injected in 28 patients in group B. The incidence rates of pain in patients during and after surgery were compared between the two groups. The follow- up comparison of hepatic cyst recurrence rates within one year after surgery was performed between the two groups. Between- group comparison was performed by χ2test. Results Five patients( 10. 87%) in group A and two patients( 7. 14%) in group B had recurrence within one year after treatment. There was no significant difference in recurrence rate between the two groups( χ2= 0. 283,P > 0. 05). The incidence of pain in group A was significantly higher than that in group B( χ2= 5. 258,P < 0. 05). Conclusion With the same efficacy as sodium morrhuate in the treatment of hepatic cyst,lauromacrogol can be routinely used as a sclerosing agent due to its mild side effects.
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Key words:
- liver cyst /
- lauromacrogol /
- sodium morrhuate /
- sclerotherapy
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