超声引导下穿刺肾囊肿乙醇硬化治疗的评价.pdfVIP

维普资讯 · 893 · · 论 著 · 超声引导下穿刺 肾囊肿乙醇硬化治疗的评价 陈丽萍，白旭东，朱 瑛，姚运明，迟宝荣 【摘要】 目的 探讨超声引导下穿刺注射99．9％乙醇治疗肾囊肿的作用。方法 采用超声对26例肾囊肿行定 位穿刺抽液和注入99．9％乙醇，治疗前、后测量并比较惠肾主动脉及囊肿毗邻处动静脉血流，设对照组20例。随访6 个月一1年。结果 超声引导下共治疗26例囊肿，5例未完全消失，进行2次治疗，共穿刺31次，无严重并发症；治 疗前、后患肾段动脉流速及阻力指数 (RI)间差异有显著性意义 (P0．05)。结论 超声引导下穿刺注射99．9％乙 醇治疗肾囊肿是一种安全、微创、高效、经济的治疗方法；多普勒频谱检测肾血流有助于了解肾囊肿对肾脏的影响。 【关键词】 肾囊肿；超声引导；穿刺术；多普勒频谱 【中图分类号】R692 【文献标识码】A 【文章编号】1007—9572(2006)l1—0893—02 EvaluationofSclerotherapy、VitllAlcoholforRenalCystsbyUltrasound—GuidedPuncture CHENLi—ping．BAIXu— dong，ZHU ，eta1．DepartmentofUltrasonography，1stHospitalofJilinUniversity，Changchun130021，China A【bstract】 Objective Toevaluatetheeffectofsclerotherapywith99．9％alcoholinjectionafterpunctureandaspira． tionguidedbyultrasoundforthetreatmentofrenal cysts．Methods Totally26caseswithsymptomaticrenal cystsweretreated withsclerotherapywith99．9％ alcoholinjectionafterpunctureandaspirationugidedbyultrasound．Thebloodflowofthemainre- nal arteryandsegmental renalvesselsbeforeandafterthesclerotherapyweremeasuredbyDopplerspectrum ，menawhile，another 20caseswere chosenascontrols．Theofllow—upwasconductedofrhalftoayear．Results Th erewere5caseswhosecystsdid notdisappearna dweretreatedagain，andnoseriouscomplicationwasofund．Th ebloodflow ofsemg entalrenal artery increased， andtheresistiveindexdecreasedsignificantlyaftertherapy(P 0．05)．Conclusion Thesclerotherapywith99．9％ alcohol byul~asound—ugidedpunctureisasafe，minimallyinvasive，highlyeffective，andinexpensivemethodofrtreatmentofsymptom- aticrenal cysts．Measurementofrenal bloodflow byDopplerspecturm isusefultoknow theimpactofcystonthekidney． 【Keyword】 Renalcyst；Ultrasound—guided；Punctures；Dopplerspectrum 肾囊肿是肾脏常见的良性病变，小囊肿 (30m