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目的研究超声引导经皮穿刺硬化治疗肾脏单纯性囊肿新方法。方法对1 947例(2 047个囊肿:孤立性囊肿者1 865例、2个囊肿者64例、3个囊肿者18例)单纯性肾脏良性囊肿进行超声引导经皮穿刺固化治疗,主要对固化剂选择和给药方法进行了深入研究。使用固化剂包括50%葡萄糖(32个囊肿)、鱼肝油酸钠(122个囊肿)和无水乙醇(1 893个囊肿)。给药方法包括传统保留法和置换冲洗法。术后第3个月开始随访,随访时间8个月~12年。结果传统保留法50%葡萄糖组有效率81.2%(26/32)、鱼肝油酸钠组有效率89.3%(109/122)和无水乙醇组有效率93.8%(676/721);无水乙醇置换冲洗法组有效率99.8%(1 170/1 172)。无严重并发症。结论超声引导经皮穿刺置换冲洗法无水乙醇治疗良性肾囊肿明显优于传统保留法无水乙醇或其他固化剂治疗良性肾囊肿。且此方法安全、有效、简便、易行,可以广泛推广应用。
Objective To study the new method of ultrasound-guided percutaneous puncture sclerosis in the treatment of simple renal cysts. Methods Ultrasound-guided percutaneous puncture and solidification were performed on 1 947 cases (2 047 cysts: 1 865 cases of solitary cysts, 64 cases of 2 cysts and 18 cases of 3 cysts) Agent selection and administration methods. Curing agents used included 50% glucose (32 cysts), sodium morrhuate (122 cysts) and absolute ethanol (1 893 cysts). Methods of administration include traditional retention and displacement irrigation methods. The first 3 months after the start of follow-up, follow-up time of 8 months to 12 years. Results The effective rate of conventional retention method was 81.2% (26/32) in 50% glucose group, 89.3% (109/122) in sodium morrhuate group and 93.8% (676/721) in anhydrous ethanol group. The flushing group was 99.8% efficient (1 170/1 172). No serious complications. Conclusion Ultrasound-guided percutaneous puncture and replacement of ethanol washing ethanol treatment of benign renal cysts was significantly better than the traditional retention method of ethanol or other curing agent for the treatment of benign renal cysts. And this method is safe, effective, simple, easy and can be widely applied.