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B超引导穿刺注射硬化剂已广泛应用于肾囊肿的治疗,为了探讨这种方法的安全性和可靠性,我们对1992年6月至1999年8月,在B超引导下经皮穿刺注射无水酒精的患者,有三个月以上随访的37例43个囊肿的观察报告于下。 资料与方法 1.临床资料:患者37例,男13例,女24例。年龄27岁～90岁,≥50岁22例。囊肿43个,单肾弧立性囊肿31例,双肾单囊6例。囊肿直径最小3.5cm,最大12cm。使用日本Aloka SSD 680型彩色多普勒诊断仪。 2.治疗方法:患者术前查血常规及出凝血时间。皮肤消毒,铺中按常规,选取囊肿最表浅和最清晰部位,避开脏器及大血管。注射利多卡因局麻后,插入穿刺针,穿刺针选进口18G,穿刺深度达到囊肿中心,即拔出针芯,抽尽囊液并记录量,本组抽出量为15～250ml均为淡黄囊液,然后注入无水乙醇,注入量为囊液量1/4～1/2,保留5分钟抽尽,对较大囊肿(≥6cm),再注入相应量,保留5分钟抽尽,拔出穿刺针,穿刺点覆盖敷料,术华。术后三月超声复查。
B-guided catheterization sclerotherapy has been widely used in the treatment of renal cysts, in order to explore the safety and reliability of this method, we from June 1992 to August 1999, under the guidance of B-percutaneous needle injection Patients with water and alcohol, there are more than three months follow-up observation of 37 cases of 43 cysts in the next report. Materials and Methods 1. Clinical data: 37 patients, 13 males and 24 females. Age 27 years old to 90 years old, ≥ 50 years in 22 cases. 43 cysts, single renal cyst in 31 cases, single kidney in 6 cases. Cyst diameter of the smallest 3.5cm, maximum 12cm. Japan Aloka SSD 680 color Doppler diagnostic instrument. 2. Treatment: The patient’s routine blood test and coagulation time. Skin disinfection, shop in accordance with conventional, select the most superficial and most clear cyst site, avoid organs and blood vessels. After injection of lidocaine local anesthesia, insert the puncture needle, puncture needle selected import 18G, puncture depth reaches the center of the cyst, that is pulling out the needle core, pumping liquid and record the amount of cyst, the group of 15 ~ 250ml out of the amount of light yellow Cyst fluid, and then injected into ethanol, the amount of fluid volume of cyst fluid 1/4 ~ 1/2, keep 5 minutes pumping exhausted, larger cysts (≥ 6cm), then inject the appropriate amount, Puncture needle puncture, puncture point covered dressing, surgery Hua. Three months after ultrasound review.