介入性超声治疗肾囊肿疗效分析.docVIP

介入性超声治疗肾囊肿疗效分析 安 徽 省 蒙 城 县 中 医 院 闫振济 摘要： 目的：观察介入性超声治疗术治疗肾囊肿的疗效。 方法：采用介入性超声治疗术、治疗肾囊肿。治疗对象为2006年一2011年我院门诊或住院患者，总人数231例，年龄6岁至90岁，平均57.2岁，单侧单发186例、其中左肾单发81例、右肾单发79例，双肾单发26例.。单侧多发20例，其中左肾多发6例，右肾多发3例，双肾多发11例。囊肿最小10X10mm、最大120X100mm大小。 结果：囊肿直径10—40mm者139例，1---3个月囊肿消失；囊肿直径40—60mm者62例，3—6个月囊肿消失；囊肿直径60—80mm者12例，6—9个月囊肿消失；囊肿直径80--100mm者9例，进行二至三次治疗后囊肿消失。囊肿直径100mm者5例，需二至三次或多次治疗后囊肿消失。 结论：介入性超声治疗术，是在超声显像的基础上，为进一步满足临床诊断和治疗的需要发展起来的一门新技术。其主要特点是在实时超声的监视和引导下，完成抽吸、注药治疗等操作,其目的是避免不必要的剖腹手术。特别是对年幼或年老体弱的患者，既能从根本上治疗疾病，又不影响美观，费用开支低，更不会影响肾脏生理功能，是治疗肾囊肿有效可行的方法。由于硬化剂对细胞有较强的脱水作用，当注入囊肿内时，可使囊肿内壁变性、坏死、失去分泌的功能，致使囊肿内皮细胞萎缩，使囊肿缩小至消失。避免了外科手术所带来的巨大创伤，完整保留了肾脏，此方法可以达到与外科手术相媲美的治疗效果，介入性超声治疗术治疗肾囊肿优于外科手术。 关键词：介入性超声、肾囊肿、外科手术 Interventional ultrasound treatment of renal cyst curative effect analysis Ann hui province city county by the hospital LiXiaoYan? ? YanZhenJi ? Abstract: Objective: to observe the interventional ultrasound treatment the curative effect of surgical treatment of renal cyst. Methods: interventional ultrasound treatment technique, the treatment of renal cyst. Treatment object for 2006 years in our 2011 outpatient or hospitalization patients, total number of 231 cases, aged 6 years old to 90 years old, an average of 57.2 years, 186 patients with unilateral single, the left renal single 81 cases, 79 cases of right kidney single, double kidney single 26 cases.. Unilateral multiple 20 patients with left renal multiple 6 cases, right renal multiple 3 cases, double kidney multiple 11 cases. Cyst minimum 10 x10mm, maximum 120 x100mm size.Results: cyst diameter 10-40 mm person 139 cases, 1-3 months cysts disappear; Cyst diameter 40-60 mm person 62 examples, 3-6 months cysts disappear; Cyst a diameter of 60-80 mm person in 12 cases, 6-9 months cysts disappear; Cyst diameter of 80-100 mm is 9 cases, for two to three times after treatment cysts disappear. Cyst diameter 100 mm person in 5 patients, and should be two to three times or more after treatment cysts disappear. Conclusion: in