DSA联合超声引导下穿刺留置中心静脉导管硬化治疗肾囊肿的临床研究  

Clinical Study of DSA Combined with Ultrasound-guided Puncture Indwelling Central Venous Catheter Sclerotherapy in the Treatment of Renal Cyst

作　　者：田云飞[1] 邹嵩[1] 宋于生[1] 谢可平[1] TIAN Yunfei;ZOU Song;SONG Yusheng(Ganzhou People’s Hospital,Ganzhou 341000,China)

机构地区：[1]江西省赣州市人民医院,江西赣州341000

出　　处：《中国医学创新》2018年第35期93-96,共4页Medical Innovation of China

基　　金：赣州市指导性科技计划项目(GZ2014ZSF212)

摘　　要：目的:探讨DSA联合超声引导下穿刺留置中心静脉导管硬化治疗肾囊肿的临床效果。方法:选取本院2015年2月-2016年7月收治的肾囊肿患者80例作为研究对象,根据不同的治疗引导手段将其分为对照组(n=36)和观察组(n=44)。对照组给予超声引导下穿刺留置中心静脉导管硬化治疗,观察组给予DSA联合超声引导下穿刺留置中心静脉导管硬化治疗,观察比较两组的临床治疗效果、不良反应发生及治疗后疾病的2年累积复发情况。结果:观察组治疗总有效率明显高于对照组,差异有统计学意义(字2=5.138,P=0.023)。观察组不良反应发生率明显低于对照组,差异有统计学意义(字2=3.962,P=0.047)。随访2年后,观察组疾病复发有4例,复发率为9.09%(4/44);对照组有5例,复发率为13.89%(5/36)。两组治疗后疾病的2年累积复发率比较,差异无统计学意义(Log-rank字2=0.405,P=0.525)。结论:DSA联合超声引导下穿刺留置中心静脉导管硬化治疗肾囊肿的临床效果好,不良反应少,可以在临床上推广应用。Objective:To explore the clinical effect of DSA combined with ultrasound-guided puncture indwelling central venous catheter sclerotherapy in the treatment of renal cyst.Method:A total of 80 patients with renal cysts admitted in our hospital from February 2015 to July 2016 were selected as the research objects.According to different treatment guidance methods,they were divided into control group(n=36) and observation group(n=44).The control group was treated with ultrasound-guided puncture indwelling central venous catheter sclerotherapy,the observation group was treated with DSA combined with ultrasound-guided puncture indwelling central venous catheter sclerotherapy.The clinical efficacy,adverse reaction and 2-year cumulative recurrence of the disease between the two groups were observed and compared.Result:The total effective rate of the observation group was significantly higher than that in the control group,the difference was statistically significant(χ^2=5.138,P=0.023).The incidence of adverse reactions in the observation group was significantly lower than that in the control group,the difference was statistically significant(χ^2=3.962,P=0.047).After follow-up 2 years,there were 4 cases of disease recurrence in the observation group,the recurrence rate was 9.09%(4/44), and 5 cases in the control group,the recurrence rate was 13.89%(5/36). There was no significant difference in 2-year cumulative recurrence rate of the disease between the two groups(Log-rank χ^2=0.405,P=0.525).Conclusion:DSA combined with ultrasoundguided puncture indwelling central venous catheter sclerotherapy in the treatment of renal cyst has good clinical effect and few adverse reactions,it can be popularized and applied in clinic.

关 键 词：DSA联合超声 中心静脉导管硬化 肾囊肿 

分 类 号：R692[医药卫生—泌尿科学]