超声引导下肾囊肿穿刺抽液加聚桂醇硬化治疗>60岁单纯性肾囊肿患者的效果分析  

Effect analysis of ultrasound-guided renal cyst puncture and aspiration combined with polidocanol sclerotherapy on patients>60 years old with simple renal cyst

作　　者：兰伟 廖茗凤 韩小军 LAN Wei;LIAO Ming-feng;HAN Xiao-jun(Department of Pharmacy,Mianyang Hospital Affiliated to the University of Electronic Science and Technology School of Medicine(Mianyang Central Hospital),Mianyang 621000,China)

机构地区：[1]电子科技大学医学院附属绵阳医院·绵阳市中心医院药学部,621000 [2]电子科技大学医学院附属绵阳医院·绵阳市中心医院超声医学科,621000

出　　处：《中国实用医药》2025年第3期106-109,共4页China Practical Medicine

摘　　要：目的探讨超声引导下肾囊肿穿刺抽液加聚桂醇硬化治疗>60岁单纯性肾囊肿患者的效果及安全性。方法选取41例>60岁单纯性肾囊肿患者为研究对象,完善术前检查无手术禁忌,于超声引导下行肾囊肿穿刺抽液联合聚桂醇硬化治疗,囊液常规送脱落细胞学检查,观察手术时间、术中视觉模拟评分法(VAS)评分、疗效以及术后并发症发生情况。结果41例患者抽出囊液送检脱落细胞学检查均未发现肿瘤细胞。手术时间最短7 min,最长24 min。VAS评分均为1~3分(轻度疼痛)。1例患者穿刺硬化结束由检查床起来准备去观察区观察时出现面色苍白、大汗、呼之不应的情况,立即予以平卧位,吸氧,测血压(收缩压/舒张压)85/48 mm Hg(1 mm Hg=0.133 kPa),患者症状持续数分钟后自行缓解。1例患者术后表现为低热,体温37.5℃,余无特殊不适,未行特殊处理,患者术后2 d体温恢复正常。1例患者在抽取囊液过程中抽出血性液体,快速聚桂醇溶液冲洗后仍顺利完成治疗。2例患者术后3个月复查泌尿系超声囊肿体积缩小不明显,再次于局部麻醉(局麻)下行囊肿穿刺抽液加聚桂醇硬化。患者总有效率为100%(41/41)。患者术后未发生感染、肾周血肿、血尿、心脑血管并发症。结论>60岁单纯性肾囊肿患者实施超声引导下肾囊肿穿刺抽液加聚桂醇硬化治疗安全、有效,值得推广应用。Objective To explore the effect and safety of ultrasound-guided renal cyst puncture and aspiration combined with polidocanol sclerotherapy on patients>60 years old with simple renal cyst.Methods 41 patients>60 years old with simple renal cysts were selected as the study subjects.There was no contraindication in preoperative examination.Ultrasound-guided renal cyst puncture and aspiration combined with polidocanol sclerotherapy was performed.The cystic fluid was routinely sent to exfoliative cytology for examination.Observation was made on operation time,intraoperative visual analogue score(VAS)score,curative effect and occurrence of postoperative complications.Results No tumor cells were found in 41 patients with exfoliative cytology.The shortest operation time was 7 min and the longest was about 24 min;the VAS scores were all 1-3 points(mild pain).1 patient experienced pale complexion,sweating profusely and no response on calling when preparing to go to the observation area after completing the puncture and sclerotherapy,then he was immediately placed in a supine position,oxygen inhalation,and his blood pressure(systolic and diastolic blood pressure)was measured at 85/48 mm Hg(1 mm Hg=0.133 kPa),and the symptoms were relieved spontaneously after a few minutes.1 patient had a slight fever after the operation,with a body temperature of 37.5℃,no other special discomfort,and the patient recovered without treatment 2 d after the operation.1 case had bloody fluid during the extraction of cyst fluid,and the treatment was successfully completed after rapid flushing with polidocanol solution.2 patients showed no significant reduction in the volume of cyst by urinary ultrasound after 3 months of postoperative follow-up,and ultrasound-guided renal cyst puncture and aspiration combined with polidocanol sclerotherapy was performed again under local anesthesia;the comprehensive total effective rate was 100%(41/41).Patients had no infection,perirenal hematoma,hematuria,or cardiovascular and cerebrovascular complications afte

关 键 词：超声引导 单纯性肾囊肿 聚桂醇 硬化治疗 穿刺抽液 

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]