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目的评价CT引导下经皮穿刺抽吸硬化治疗肾囊肿的临床应用价值。方法回顾分析在CT引导下经皮穿刺抽吸硬化治疗肾囊肿患者56例。要点包括选择最佳层面,穿刺点、进针角度及深度;抽净囊液,注入纯无水乙醇保留5～10min抽净。结果56例均穿刺成功,治愈率96%,有效率100%,2例并发腹痛,并发症3.6%。结论CT引导下经皮穿刺抽吸注硬化剂治疗肾囊肿,穿刺成功率高,并发症少,疗效显著,是治疗肾囊肿的首选方法,值得临床推广应用。
Objective To evaluate the clinical value of CT guided percutaneous aspiration sclerosis in the treatment of renal cysts. Methods Retrospective analysis of 56 cases of renal cyst treated with CT guided percutaneous aspiration sclerosis. Points include the choice of the best level, the puncture point, needle angle and depth; pumping net cyst fluid, pure ethanol into the reservation 5 ~ 10min pumping net. Results All the 56 cases were successfully punctured. The cure rate was 96% and the effective rate was 100%. Two cases had abdominal pain and the complications were 3.6%. Conclusion CT-guided percutaneous puncture and injection of sclerosing agent for the treatment of renal cysts with high success rate of puncture, less complications and significant curative effect are the first choice for the treatment of renal cysts and are worthy of clinical application.