CAJ | 학술논문

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。
목적：관찰복강경개창인류술화낭종천자인류연합경화제치료간낭종적림상료효。방법회고성연구2010－05～2014－02수치적60례간낭종환자적림상자료，장행복강경개창인류술적30례작위A조，행간낭종천자인류술＋경화제적30례작위B조，술후수방1년，대량조료효진행대비。결과 B조적수술시간、술후하상활동시간、주원시간단우A조（ P＜0．05），차술후체도완해적효과상동，술후인류관방치시간、병발증적발생솔차이무통계학의의（ P＞0．05）。결론대우간낭종적치료응준순개체화선택치료，근거환자불동류형적병정，종합각충정황후선취최가치료방식。
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.Re-sults 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.