超声引导下经皮肾囊肿穿刺硬化治疗两种方法疗效比较.docVIP

超声引导下经皮肾囊肿穿刺硬化治疗两种方法疗效比较 　　【摘要】 目的：对比在超声引导下经皮肾囊肿穿刺硬化治疗两种方法的临床疗效。方法：将100例单纯性肾囊肿患者随机分为对照组与试验组各50例。对照组采用常规经皮肾囊肿穿刺硬化治疗，即超声引导下肾囊肿单次穿刺注射无水乙醇治疗；试验组实施置管多次硬化治疗，采用超声引导下肾囊肿穿刺注射无水乙醇后置入猪尾巴导管持续引流、多次注入无水乙醇治疗。结果：于随访2年进行超声复查，两组患者治肾囊肿均明显缩小或消失。两组患者治疗后治愈率及复发率比较差异均有统计学意义（P中国论文网 /6/view-7251485.htm 　　【关键词】 超声介入治疗； 持续引流； 单纯性肾囊肿 　　Two Methods of Curative Effect Comparison of Ultrasound Guided Percutaneous Renal Cyst Puncture Sclerotherapy/QIAN Ying，QIAN Jian-lin， CHEN Chu-hong.//Medical Innovation of China，2016，13（06）：025-028 　　【Abstract】 Objective：To investigate the clinical efficacy of two different sclerotherapy of pure renal cysts by absolute alcohol injection by ultrasound guided. Method： 100 patients with pure renal cyst were randomly divided into control group （n=50） and experimental group （n=50）.The control group used absolute alcohol injection for sclerotherapy of pure renal cysts by ultrasound guided，only one time， the experimental group used constant drainaged with pigtail tube by ultrasound guided and treated by sclerotherapy with absolute alcohol injection，three times or more. The adverse effects and effective rates of the two groups were observed and compared. Result：All patients were followed up for 24 months or more， two groups of patients with renal cyst were significantly shrink or disappear. After treatment， the cure rate and recurrence rate were compared between the two groups，the differences were statistically significant （P0.05），见表1。 　　表1 两组患者一般资料的比较 　　组别 性别 例 年龄 　　（岁） 囊肿大小 　　（mL） 　　男 女 　　对照组（n=50） 22 28 60.66±11.32 156.62±127.83 　　试验组（n=50） 23 27 64.44±11.31 132.25±114.67 　　字2/t值 0.0000 -1.6707 0.8976 　　P值 1.0000 0.0980 0.3721 　　1.2 治疗方法 对照组采用常规经皮肾囊肿穿刺硬化治疗，即超声引导下肾囊肿单次穿刺注射无水乙醇治疗；试验组实施置管多次硬化治疗，采用超声引导下肾囊肿穿刺注射无水乙醇后置入猪尾巴导管持续引流、多次注入无水乙醇治疗。具体操作如下。 　　1.2.1 对照组 采用PhilipHD11超声仪，探头频率3.5 MHz，穿刺针为18～19G。首先经超声检查选择囊肿距体表皮肤最近，且避开大血管、重要脏器及胸膜的穿刺点，穿刺区常规消毒皮肤，铺巾，1%利多卡因局麻，用消毒薄膜包裹超声探头，再次经超声检查确认囊肿大小、位置，并确定穿刺路径。在实时超声动态监视下穿刺针沿最佳穿刺路径快速穿刺进入囊肿中心，当超声检查见囊肿无回声区内出现点状强回声针尖，即可拔出针芯，见囊液自针尾流