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目的探讨CT引导下穿刺硬化剂治疗肾囊肿的方法及疗效。方法经B超或CT诊断的78例84个肾囊肿在CT定位下经皮穿刺抽吸,行无水乙醇反复冲洗法硬化剂治疗,用18~22 G穿刺针抽吸,注入99.7%无水乙醇,注射量为抽出囊液量的25%~30%。术后每隔3个月复查,随访其疗效。结果其中79个囊肿一次穿刺成功,随访3个月~1年,复查见51例54个囊肿消失,22例24个囊肿缩小,4例4个囊肿未见缩小。有效率95.2%,消失率64.2%,无严重并发症。结论CT引导下经皮穿刺硬化剂治疗肾囊肿是一种安全、有效的治疗方法,具有较高的临床实用价值。
Objective To investigate the method and efficacy of CT-guided puncture sclerotherapy for renal cysts. Methods 78 cases of 84 renal cysts diagnosed by B ultrasound or CT were percutaneously aspirated under CT location and treated with repeated rinse with ethanol. The patients were treated with 18-22 G puncture needle and injected with 99.7% Ethanol, the amount of injection of the amount of fluid out of the capsule 25% to 30%. After every 3 months review, follow-up of its efficacy. Results A total of 79 cysts were successfully punctured at one time. The follow-up ranged from 3 months to 1 year. Fifty-four (54) cysts disappeared during the follow-up. Twenty-four (24) cysts decreased and four (4) did not. Effective rate of 95.2%, the disappearance rate of 64.2%, no serious complications. Conclusion CT-guided percutaneous sclerosis treatment of renal cysts is a safe and effective treatment, with high clinical value.