影响肾囊肿患者超声介入硬化治疗效果的因素分析  

Analysis of factors influencing the effect of ultrasound interventional sclerotherapy in renal cyst patients

作　　者：李卫群[1] LI Weiqun(Department of Ultrasonography,Loudi Central Hospital,Loudi,Hunan,417000,China)

机构地区：[1]娄底市中心医院超声科,湖南娄底417000

出　　处：《当代医学》2021年第25期47-49,共3页Contemporary Medicine

摘　　要：目的分析总结影响肾囊肿患者超声介入硬化治疗效果的主要因素。方法回顾性分析本院2019年1月至2020年6月收治的70例肾囊肿患者的临床资料。所有患者均接受超声介入硬化治疗,根据治疗效果分为有效组(n=50)和无效组(n=20),通过单因素和多因素Logistic分析,总结影响患者治疗效果的主要因素。结果两组年龄、性别、单次治疗囊肿数、患侧、囊壁厚度、单/多囊肾等临床资料比较差异无统计学意义;两组冲洗方式、囊液抽吸不彻底、囊肿直径、无水乙醇量、无水乙醇保留以及穿刺针脱出比较差异有统计学意义(P<0.05)。多因素Logistic回归分析显示,囊液抽吸不彻底、单次冲洗、穿刺针脱出、无水乙醇量<60 mL、无水乙醇未保留、囊肿直径>10 cm均是导致肾囊肿患者超声介入硬化治疗无效的危险因素。结论肾囊肿患者超声介入硬化治疗效果的影响因素包括冲洗方式、囊液抽吸是否彻底、穿刺针有无脱出、无水乙醇量、无水乙醇保留、囊肿直径等,临床应对这些因素做好预防,从而保障患者治疗效果,改善患者预后。Objective To analyze and summarize the main influencing factors of the ultrasound interventional sclerotherapy for renal cyst.Methods The clinical data of 70 patients with renal cysts treated in our hospital from January 2019 to June 2020 were retrospectively analyzed.All patients received ultrasound intervention sclerotherapy,and they were divided into effective group(n=50)and ineffective group(n=20)according to the treatment effect.Through univariate and multivariate logistic analysis,the main factors affecting the treatment effect were summarized.Results There was no significant difference in age,gender,number of cysts,affected side,thickness of cyst wall,single or multiple cysts between the two groups;there was significant difference between the two groups in the way of irrigation,incomplete aspiration of cyst fluid,cyst diameter,absolute ethanol volume,absolute ethanol retention and puncture needle prolapse(P<0.05).Multivariate Logistic regression analysis showed that incomplete aspiration of cyst fluid,single flush,needle prolapse,anhydrous ethanol<60 mL,anhydrous ethanol not reserved,cyst diameter>10 cm were all risk factors for ineffective ultrasound intervention sclerotherapy in patients with renal cyst.Conclusion The influencing factors of ultrasound intervention sclerotherapy in patients with renal cysts include washing method,whether the cyst fluid suction is complete,whether the puncture needle is prolapsed,the amount of anhydrous ethanol,anhydrous ethanol retention,cyst diameter,etc.these factors should be prevented to ensure the treatment effect and improve the prognosis of patients.

关 键 词：肾囊肿 无水乙醇 超声介入硬化 囊肿直径 治疗效果 影响因素 

分 类 号：R445.1[医药卫生—影像医学与核医学] R692[医药卫生—诊断学]