摘要
目的 :分析影响CT导引下穿刺硬化剂治疗肾囊肿疗效的因素和预防并发症的方法。方法 :对 96例 13 5个肾囊肿行CT导引下无水乙醇 (纯度 99.7% )硬化治疗 ,囊肿直径 2 .8~ 12 .0cm ,用 2 0G抽吸针穿刺 ,抽液后注入无水乙醇 ,注入量为抽出液的 2 5 .0 %。留置 15min后抽出注入的无水乙醇 ,重新注入少量无水乙醇保留。对于囊液大于 3 0 0ml的囊肿则多次冲洗 ,直至抽出液清亮。结果 :该组随访 5 1例 ,有效率 94.1% ,囊肿消失率 84.3 % ,无严重并发症发生。结论 :CT导引下穿刺硬化剂治疗肾囊肿方法简便 ,疗效好 ,并发症少 ,是一种非常有价值的治疗方法。
Objective:To analyse the factors influencing the curative effect of the puncture sclerosing therapy of renal cyst under CT guidance and the prevention of complications. Methods:96 renal cysts in 135 cases were treated by using sclerosing agent anhydrous alcohol (99.7%) under CT guidance. Renal cysts of 2.8cm~12.0cm in diameter were aspirated using a 20G suction needle. After aspiration, anhydrous alcohol was injected with 25.0% of the amount of aspirated fluid. Renal cyst of over 300ml fluid needed to be aspirated repeatedly until the fluid was clear.Results:In follow-up of 51 cases, the effective rate was 94.1% and renal cyst disappeared in 84.3% of the cases.No serious complications were observed.Conclusion:The puncture sclerosing therapy of renal cyst under CT guidance is a simple,safe,and effective method.
出处
《放射学实践》
2004年第5期357-359,共3页
Radiologic Practice