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B超引导下经皮肾囊肿穿刺抽液+无水酒精囊内注射治疗肾囊肿患者36例。男22例,女14例,平均年龄47.8岁。单个囊肿者29例,2~3个囊肿者4例,多囊肾者3例。囊肿直径平均5.06cm(2~9cm),被抽出液量平均75.3ml(10~180ml),抽液后囊内注射无水酒精量(浓度为99%)平均16.6ml(3~45ml)。穿刺均一次成功,仅2例有短暂酒醉感、3例有短时轻微血尿。穿刺后复查囊肿分别于第2~3个月时全部消失,随访1~2年无1例复发。本文还就该法的优点、操作技术要点、硬化剂选择及其用于治疗多囊肾的有关争论等作了讨论。
Thirty - six patients with renal cyst treated by B - ultrasonography underwent percutaneous renal cyst puncture and intraperitoneal injection of anhydrous alcohol. There were 22 males and 14 females, with an average age of 47.8 years. 29 cases of single cysts, 2 to 3 cysts in 4 cases, 3 cases of polycystic kidney disease. Cyst diameter average 5.06cm (2 ~ 9cm), the amount of fluid was withdrawn an average of 75.3ml (10 ~ 180ml), intracapsular injection of anhydrous alcohol volume (concentration 99%) average 16.6ml ). Puncture were successful, only 2 cases had a short drunk feeling, 3 cases had short hematuria. After puncture check the cysts were disappeared in the first 2 to 3 months, no follow-up of 1 to 2 cases of recurrence. This article also discussed the advantages of the law, the operation of technical points, selection of hardeners and their controversy for the treatment of polycystic kidney disease were discussed.