CT导引下肾囊肿硬化剂治疗  

CT-guided sclerotherapy of renal cyst

作　　者：许守利 马永华[1] 张世忠[1] 

机构地区：[1]山东省泗水县人民医院影像科,山东273200

出　　处：《当代医学》2009年第23期457-458,共2页Contemporary Medicine

摘　　要：目的探讨CT导引下穿刺注射硬化剂无水乙醇及CO2治疗肾囊肿及疗效观察。方法搜集有随访病例90例105个肾囊肿经皮穿刺抽吸后注射硬化剂99.7%无水乙醇65个及注入CO240个,其中单发者81例,多发者9例,最大者10cm×10cm×15cm,最小者5cm×5cm×6cm。年龄25～70岁,平均年龄54岁。结果所有患者症状明显缓解,2个月B超复查显示有效率98%(103/105),囊腔缩小2/3以上者达71%(75/105),其中囊腔消失者58个,占总囊肿数的55%,无严重并发症,复发率较低。结论CT导引下注射硬化剂治疗肾囊肿是一种准确、安全、微创、疗效好,值得推广的治疗方法。Objective To explore the CT-guided injection of ethanol and CO2 to treat renal cysts. Methods 90 cases with 105 renal cysts were enrolled in the study. After percutaneous puncture, 99.7% ethanol were injected in 65 cysts and CO2 in 40. There wereof which 81 cases with single cyst, and 9cases with multiple lesions. The largest was 10cm × 10cm × 15cm, least 5cm × 5cm × 6cm. Age ranged from 25 to 70 years old, average age was 54 years. Results Symptom was significantly alleviated in all patients, 2 month follow-up showed that efficiency was 98% （103/105）, cysts narrow 2 / 3 more than 71% （75/105）, cysts disappeared in one of 58 total 55% of the number of cysts, without serious complications, a lower relapse rate. Conclusion CT-guided injection sclerotherapy of renal cyst is an accurate, safe, minimally invasive, efficacy, and treatment methods should be promoted.

关 键 词：X线计算机 体层摄影术 肾囊肿 硬化剂 

分 类 号：R692.9[医药卫生—泌尿科学]