CT介入肾囊肿反复冲洗法硬化治疗  

The Interventional Sclerotherapy of Renal Cysts Guided by CT

作　　者：万建国 王秀蒙 许村民 王宝宏 

机构地区：[1]河南省漯河市第二人民医院CT室,河南漯河462000 [2]漯河市卫校附属医院

出　　处：《实用放射学杂志》2003年第6期544-546,共3页Journal of Practical Radiology

摘　　要：目的　对比CT导引下肾囊肿单次和反复冲洗法硬化治疗的疗效。方法　选 96例单发肾囊肿采用经皮穿刺硬化治疗。其中 45例 (A组 )采用常规单次法 ,即抽出囊液后立即注入 99.7%无水乙醇 ,保留后再抽出。 5 1例 (B组 )采用反复冲洗法 ,反复冲洗至少 1～ 2次 ,保留后再抽出。结果　本组全部经B超或CT随访 ,随访时间为 3～ 6个月 ,A组治疗有效率为 91.1% ,治愈率为62 .2 %。B组治疗有效率为 98.8% ,治愈率为 80 .4%。A、B 2组治愈率对比有差异 (Ρ <0 .0 5 )。结论　CT导引下经皮穿刺抽吸硬化剂治疗肾囊肿具有疗效高、并发症低、创伤小的特点 ,采用反复冲洗法能提高治愈率、降低复发率。Objective To compare the results of single and repeated percutaneous sclerotherapy in patients with simple renal cysts .Methods 96 patients with simple renal cysts underwent needle aspiration and sclerotherapy under CT guidance. 45 patients (group A) underwent one session of sclerotherapy with 99.7% ethanol immediately after aspiration and 51 patients (group B) underwent repeated sclerotherapy at least twice. The patients were followed up using ultrasonography or CT at 3～6 months intervals. The complete or almost disappearance of the renal cyst was considered a successful treatment.Results The efficacy of treatment was significantly different in two group . The overall effective rate were 91.1% and 98.8% in group A and group B , respectively. The rate of complete regression was significantly better in group B (80.4%) than in group A (62.2%,Ρ<0.05).Conclusion These results suggest that multiple sclerotherapy is better than a single injection of sclerosant for reducing the recurrence of simple renal cysts.

关 键 词：CT 介入治疗 肾囊肿 冲洗法 硬化治疗 经皮穿刺 无水乙醇 

分 类 号：R692.12[医药卫生—泌尿科学] R815[医药卫生—外科学]