超声引导下经皮肾囊肿穿刺硬化治疗两种的方法疗效比较.docVIP

超声引导下经皮肾囊肿穿刺硬化治疗两种的方法疗效比较 　　【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（P0.05）。结论：置管多次硬化治疗较常规硬化治疗肾囊肿，复发率更低，效果更显著。 　　【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）. Conclusion：Constant drainaged with pigtail tube by ultrasound guided and treated by sclerotherapy with absolute alcohol injection are very effective and safe in the treatment of pure renal cyst. 　　【Key words】 Ultrasound interventional treatment； Continuous drainage； Pure renal cysts 　　First-author’s address：Shanghai Jiangong Hospital ， Shanghai 200083，China 　　doi：10.3969/j.issn.1674-4985.2016.06.008 　　肾囊肿是常见的肾脏良性疾病之一，50岁以上中老年人的发病率约占27%，且随着年龄的增长其数目和大小有增加趋势[1-2]。肾囊肿常用的治疗方法主要有腹腔镜肾囊肿去顶减压术、经皮肾囊肿穿刺硬化治疗、开放性肾囊肿去顶减压术等，目前临床多采用前