B-ultrasound-guided liver cyst puncture and ethanol injection

B-guided hepatic cyst puncture ethanol injection for surgical treatment of hepatic cysts. Hepatic cyst is a common benign liver disease. The detection rate in abdominal B-ultrasound was reported to be 1.74% (90/5184). In Shanghai Changhai Hospital, 320 cases of hepatic cyst were detected in 2679 cases of liver CT. Hepatic cysts can be divided into parasitic and non-parasitic hepatic cysts. The former is more common with hepatic hydatid disease; the latter can be divided into congenital, traumatic, inflammatory and neoplastic cysts, of which congenital liver Cysts are the most common. Some people also refer to congenital cysts as true cysts, while other cysts are called pseudocysts. Usually referred to as liver cysts refers to congenital hepatic cysts. Congenital hepatic cysts can be divided into single and multiple. The treatment of hepatic cysts is mainly surgical and non-surgical treatment. For small cysts and asymptomatic people do not need special treatment, but for large and oppressive symptoms, appropriate treatment should be given. Treating diseases: liver cysts Indication B-guided hepatic cyst puncture ethanol injection is suitable for: 1. Simple single hepatic cyst with a diameter of 15 cm or less. 2. Old and frail can not tolerate liver cysts for laparotomy. 3. Infected liver cysts. Contraindications 1. Scattered multiple small liver cysts. 2. Malignant neoplastic cysts. 3. Parasitic liver cysts. 4. Liver cysts with biliary fistula. 5. Those who have bleeding tendency or other serious systemic diseases. Preoperative preparation 1. Do a proper examination to determine the nature of the liver cyst and to understand the general condition of the patient. 2. Use vitamin K in an appropriate amount 1 to 3 days before surgery. 3. Infected patients, treated with antibiotics before surgery. Surgical procedure 1. Iodine and ethanol disinfection area, use a sterile B-ultrasound probe to determine the lesion site, and subcutaneous infiltration anesthesia at the puncture site. 2. Under the guidance of ultrasound, use the 7 to 12 puncture needle to penetrate the center of the cyst, try to drain the cyst fluid, and keep samples for further biochemical and cytological examination. 3. Inject 99.5% ethanol according to the size of the cyst, the amount is generally 20 ~ 30ml, repeated several times, each time after 3 ~ 5min retention. Finally, 10-20 ml of absolute ethanol was injected, and the puncture needle was pulled out and partially bandaged.

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