摘要
[目的]探讨B超引导下经皮肾穿刺联合无水酒精注射在治疗小儿单纯性肾囊肿(simple renal cyst,SRC)的效果。[方法]对本组9例小儿SRC患者在B超引导下经皮肾穿刺抽取囊液,同时按抽取囊液体积的20%～30%注入无水酒精。术后观察患儿症状改善情况及复查B超了解SRC大小变化。本组病例术后B超随诊时间均为12个月,分别于术后1、3、6、12个月复诊。[结果]本组9例患者,治疗1个月后SRC体积均较治疗前有所减少;治疗3个月后,4例SRC完全消失,4例体积缩小50%以上,1例SRC体积缩小<50%;治疗6个月后,6例SRC完全消失,2例体积缩小90%以上,1例SRC体积缩小<50%;治疗12个月后,7例SRC完全消失,1例体积缩小90%以上,1例SRC体积缩小<50%,后1例准备再次行穿刺注射治疗,但家属拒绝。患者治疗期间均未出现严重不良反应,3例有暂时性注射部位疼痛,1例出现发热,出院时均缓解,无其余不适主诉。随访期内腰痛、血尿、泌尿系感染症状均较前缓解。[结论]B超引导下经皮肾穿刺+无水酒精注射治疗小儿SRC,具有安全、有效、微创的特点,在基层医院可作为小儿治疗SRC的主要方法。
[Objective] To discuss the effect of percutaneous renal puncture combined with anhydrous alcohol injection under ultra-B on simple renal cyst（SRC）.[Method] To 9 cases,draw 20%-30% of cyst fluid and injected with anhydrous alcohol.After operation,observe patients’ symptoms relieve and test ultra-B to SRC.Follow up for 12m,return visit at 1st,third,6th and 12th month after operation.[Result] After 1m of treatment,SRC size was reduced compared to before treatment;after 3m,SRC in 4 cases disappeared completely,4 reduced to more than 50%,1 reduced to less than 50%;after 12m,7 cases of SRC disappeared completely,2 reduced to over 90%,1 reduced to ＆lt;50%;after 6m,6 disappeared completely,1 reduced to more than 90%,1＆lt;50%;1 case refused to make another puncture.Patients had no severe side effects in treatment;3 had temporary pain in injection site,1 had fever,and they were relieved all after out of hospital.In follow-up period,the symptoms of waist pain,blood urine and urinary system infection were relieved much.[Conclusion] The said method is safe,effective and mini-invasive,and can be taken as main therapy for children SRC in basic hospitals.
出处
《浙江中医药大学学报》
CAS
2013年第5期562-563,共2页
Journal of Zhejiang Chinese Medical University
关键词
SRC
小儿
穿刺
无水酒精
SRC
children
puncture
anhydrous alcohol
