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目的探讨一种合适的单纯性肾囊肿治疗方案以提高肾囊肿的治愈率。方法回顾性分析383例单纯性肾囊肿患者的临床资料,分析患者全身情况、囊肿特点及囊肿大小等特点与成功治疗肾囊肿的相关性。结果接受经皮穿刺引流并反复注射无水乙醇的患者128例,接受经皮穿刺引流并反复注射无水乙醇联合生物蛋白胶治疗的患者157例,接受经腹膜后腹腔镜肾囊肿去顶减压术联合生物蛋白胶治疗的患者98例,其中有效率为98.7%,治愈率为93.2%。无其损伤脏器、感染性休克、化学性肾盂肾炎等严重并发症。结论并非所有单纯性肾囊肿患者实施同一化治疗方案,应该个体化对待。
Objective To investigate a suitable treatment of simple renal cysts to improve the cure rate of renal cysts. Methods A retrospective analysis of 383 cases of simple renal cysts in patients with clinical data, analysis of the patient’s condition, cyst characteristics and cyst size and other characteristics of the successful treatment of renal cysts. Results Percutaneous puncture drainage and repeated injection of anhydrous ethanol in 128 patients received percutaneous puncture drainage and repeated injection of anhydrous ethanol combined with biological protein glue treatment of 157 patients received retroperitoneal laparoscopic renal cyst decompression 98 cases of patients treated with bioprotein gel therapy, of which 98.7% efficiency, the cure rate was 93.2%. No damage to their organs, septic shock, chemical pyelonephritis and other serious complications. Conclusions Not all patients with simple renal cysts should implement the same therapy and should be individualized.