CAJ | 학술논문

目的：探讨超声引导下经皮穿刺注射聚桂醇注射液治疗肝血管瘤的疗效。方法2010年6月-2013年1月对32例肝海绵状血管瘤患者行聚桂醇注射治疗。瘤体长径3.0 cm ×2.6 cm~6.0 cm ×5．6 cm。治疗前和术后查肝脏B型超声及肝功能，测量瘤体大小，进行疗效评估。结果32例患者共穿刺治疗54次，其中2例治疗3次，18例治疗2次，12例治疗1次。25例治愈，7例有效，治愈率78.1%，有效率100%。患者术后均感不同程度肝区疼痛，可自行缓解，2例出现术后发热（37.5~38.5℃），经物理降温，2 d后体温逐渐正常，1例出现轻微恶心呕吐，经对症治疗后消失，无一例出现严重并发症。结论超声引导下经皮穿刺注射聚桂醇注射液是临床治疗肝血管瘤的简单、安全、无严重并发症的有效方法。
목적：탐토초성인도하경피천자주사취계순주사액치료간혈관류적료효。방법2010년6월-2013년1월대32례간해면상혈관류환자행취계순주사치료。류체장경3.0 cm ×2.6 cm~6.0 cm ×5．6 cm。치료전화술후사간장B형초성급간공능，측량류체대소，진행료효평고。결과32례환자공천자치료54차，기중2례치료3차，18례치료2차，12례치료1차。25례치유，7례유효，치유솔78.1%，유효솔100%。환자술후균감불동정도간구동통，가자행완해，2례출현술후발열（37.5~38.5℃），경물리강온，2 d후체온축점정상，1례출현경미악심구토，경대증치료후소실，무일례출현엄중병발증。결론초성인도하경피천자주사취계순주사액시림상치료간혈관류적간단、안전、무엄중병발증적유효방법。
Objective To investigate the effect of ultrasound- guided percutaneous injection of lauromacrogol in treating hepatic hemangiomas. Methods During the period from June 2010 to Jan. 2013 at authors’ hospital, a total of 32 patients with hepatic hemangiomas were treated with ultrasound-guided percutaneous injection of lauromacrogol. The largest lesion was 6.0 cm × 5.6 cm in size, and the smallest lesion was 3.0 cm × 2.6 cm in size. Before and after the treatment ultrasonography, hepatic functions and measurement of tumor size were performed, and the results were evaluated. Results A total of 54 times of puncturing were carried out for the 32 patients. Three times of puncturing were made in 2 cases , two times of puncturing in 18 cases, and single time of puncturing in 12 cases. Complete cure was achieved in 25 cases (78.1%) and effective result was obtained in 7 cases, with an effective rate of 100%. After the treatment, all patients complained of different degrees of pain at hepatic region, which were relieved spontaneously. Two patients developed fever (37.5 - 38.5℃), and after physical cooling the body temperature fell to normal within two days. One patient developed mild nausea and vomiting, which disappeared after symptomatic treatment. No severe complications occurred. Conclusion Ultrasound- guided percutaneous injection of lauromacrogol is a simple, safe and effective treatment for hepatic hemangiomas. Besides, this technique has no serious complications.