Acunas B, Rozanes I, Celik L, Minareci O, Acunas G, Alper A, Ariogul O, Gökmen E
Department of Radiology, Istanbul Medical Faculty, Turkey.
Radiology. 1992 Feb;182(2):541-3. doi: 10.1148/radiology.182.2.1732977.
Percutaneous aspiration of purely cystic liver lesions was performed in 15 patients aged 11-56 years. After aspiration under guidance with computed tomography (CT) in 12 patients, a membrane that is diagnostic for hydatid disease was visible in the lumen of the cyst on CT scans. Hypertonic saline was injected in the cystic cavities of these patients as a scolecidal agent. No major complications occurred during or after the procedures. In the follow-up period of 6-16 months, control CT and ultrasound scans revealed a progressive decrease in the size of the lesions and no evidence of peritoneal seeding. It is concluded that percutaneous aspiration and hypertonic saline injection for purely cystic hydatid disease of the liver seem to be an effective form of treatment and may eventually prove to be an alternative to surgical intervention.
对15例年龄在11至56岁的患者进行了经皮穿刺抽吸单纯性肝囊肿病变。12例患者在计算机断层扫描（CT）引导下进行抽吸后，CT扫描显示囊肿腔内有对包虫病具有诊断意义的膜。向这些患者的囊腔内注射高渗盐水作为杀头节剂。手术期间及术后均未发生重大并发症。在6至16个月的随访期内，CT和超声检查显示病变大小逐渐减小，且无腹膜播散迹象。结论是，经皮穿刺抽吸并注射高渗盐水治疗单纯性肝包虫囊肿似乎是一种有效的治疗方式，最终可能被证明是手术干预的替代方法。
