摘要
目的：总结ＣＴ导引下穿刺硬化剂治疗肾囊肿的经验。材料与方法：２３５例２７０个肾囊肿经皮穿刺抽吸酒精治疗，其中１８６例为单纯肾囊肿，４４例多发囊肿，５例多囊肾。囊肿大小直径为１．９～１３．５ｃｍ。用１９～２１Ｇ抽吸针穿刺抽吸，抽出囊液为３～７８０ｍｌ。注入９９．７％无水酒精，酒精量以抽出囊液的２５．０％为合适。结果：本组随访病例９７例（１０６个肾囊肿），随访时间为３个月以内到１年以上，单纯囊肿疗效为９７．１％，其中囊腔消失为７２．１％；多发囊肿和多囊肾的疗效为７６．３％，其中囊肿消失为３６．８％。并发症为局部疼痛（６．４％），无严重的并发症。结论：ＣＴ导引下经皮穿刺抽吸硬化剂治疗肾囊肿是一种安全、并发症低、疗效高的有价值的治疗方法。
Purpose: To analyse our experience with CT guided percutaneous needle puncture aspiration and sclerosing treatment of renal cysts. Materials and methods: 270 renal cysts in 235 patients were treated with percutaneous aspiration and ethanol(99.7%) injection. Among the 235 patients, 186 patients had solitary renal cysts, 44 multiple renal cysts, and 5 polycystic kidneys. The cysts varied in size from 1.9～13.5 cm in diameter. The amount of aspirated fluid varied from 3 ml to 780 ml. A 19～21 gauge aspiration needle was used for all patients. A 25.0% cyst volume replacement with 99.7% ethanol was appropriate. Results: 106 cysts of the total 270 renal cysts were followed from less than 3 months to more than one year duration. The curative effective rate and disappearance rate of the cystic cavity in solitary renal cysts were 97.1% and 72.1%. In multiple renal cysts and cystic kidneys, the corresponding values were 76.3% and 36.8% respectively. The rate of complication with local abdominal pain was 6.4% (15 cases), there were no major complications. Conclusion: CT guided percutaneous needle puncture aspiration and sclerosing treatment of renal cysts is the treatment of choice because of safety, low complication rate, and high curative effect.
出处
《中华放射学杂志》
CAS
CSCD
北大核心
1997年第6期375-378,共4页
Chinese Journal of Radiology
关键词
硬化疗法
肾囊肿
Radiology, interventional Kidney, cystic Sclerotherapy
