中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2010年
35期
8-10
,共3页
超声检查%穿刺术%硬化疗法%肾囊肿
超聲檢查%穿刺術%硬化療法%腎囊腫
초성검사%천자술%경화요법%신낭종
Ultrasonography%Punctures%Sclerotherapy%Renal cyst
目的 探讨超声引导下经皮穿刺及置管硬化技术治疗肾囊肿的疗效及可行性.方法 57例单纯性肾囊肿患者按治疗方法的不同分为研究组(30例)和对照组(27例).研究组中囊肿直径≤6.0 cm者(17例)采用超声引导下直接穿刺硬化治疗,直径＞6.0 cm者(13例)采用穿刺置管硬化治疗;对照组采用腹腔镜手术治疗.观察并比较两组的疗效、住院时间、手术时间和并发症发生率.结果 两组术后无一例复发.研究组总有效率为93.3%(28/30),对照组总有效率为96.3%(26/27),两组比较差异无统计学意义(P＞0.05).研究组住院时间[(2.3±1.7)d]和手术时间[(13.5±3.7)min]均明显短于对照组的(5.8±2.2)d、(57.7±8.9)min,差异有统计学意义(P＜0.05);两组并发症发生率比较差异无统计学意义(P＞0.05).结论 超声引导下经皮穿刺及置管硬化技术治疗肾囊肿疗效好、创伤小、恢复快、并发症少,尤其适合在基层医院推广应用.
目的 探討超聲引導下經皮穿刺及置管硬化技術治療腎囊腫的療效及可行性.方法 57例單純性腎囊腫患者按治療方法的不同分為研究組(30例)和對照組(27例).研究組中囊腫直徑≤6.0 cm者(17例)採用超聲引導下直接穿刺硬化治療,直徑＞6.0 cm者(13例)採用穿刺置管硬化治療;對照組採用腹腔鏡手術治療.觀察併比較兩組的療效、住院時間、手術時間和併髮癥髮生率.結果 兩組術後無一例複髮.研究組總有效率為93.3%(28/30),對照組總有效率為96.3%(26/27),兩組比較差異無統計學意義(P＞0.05).研究組住院時間[(2.3±1.7)d]和手術時間[(13.5±3.7)min]均明顯短于對照組的(5.8±2.2)d、(57.7±8.9)min,差異有統計學意義(P＜0.05);兩組併髮癥髮生率比較差異無統計學意義(P＞0.05).結論 超聲引導下經皮穿刺及置管硬化技術治療腎囊腫療效好、創傷小、恢複快、併髮癥少,尤其適閤在基層醫院推廣應用.
목적 탐토초성인도하경피천자급치관경화기술치료신낭종적료효급가행성.방법 57례단순성신낭종환자안치료방법적불동분위연구조(30례)화대조조(27례).연구조중낭종직경≤6.0 cm자(17례)채용초성인도하직접천자경화치료,직경＞6.0 cm자(13례)채용천자치관경화치료;대조조채용복강경수술치료.관찰병비교량조적료효、주원시간、수술시간화병발증발생솔.결과 량조술후무일례복발.연구조총유효솔위93.3%(28/30),대조조총유효솔위96.3%(26/27),량조비교차이무통계학의의(P＞0.05).연구조주원시간[(2.3±1.7)d]화수술시간[(13.5±3.7)min]균명현단우대조조적(5.8±2.2)d、(57.7±8.9)min,차이유통계학의의(P＜0.05);량조병발증발생솔비교차이무통계학의의(P＞0.05).결론 초성인도하경피천자급치관경화기술치료신낭종료효호、창상소、회복쾌、병발증소,우기괄합재기층의원추엄응용.
Objective To investigate the efficacy and feasibility of percutaneous puncture and catheterization sclerotherapy for the treatment of kidney cyst under ultrasonographic guidance. Methods Fifty-seven patients with simple renal cysts were divided into study group (30 cases) and control group (27 patients) according to the therapies. In study group, patients who had the cyst diameter ≤6.0 cm( 17 cases) received direct puncture sclerotherapy, while ＞6.0 cm (13 cases) received catheterization puncture sclerotherapy. In control group, patients who had performed laparoscopic surgery. Observed and compared the efficacy, hospitalization time, operative time and complications of two groups. Results Both groups had no case of recurrence after surgery. The effective rates in study group and control group were 93.3%(28/30 ) and 96.3% (26/27) respectively, and there was no statistical difference between two groups (P ＞ 0.05). The hospitalization time and operative time in study group [( 2.3 ± 1.7 ) d, ( 13.5 ± 3.7 ) min] were significantly shorter than those in control group [(5.8 ±2.2) d, (57.7 ±8.9) min] (P＜0.05); but the incidence of complications had no statistical difference between two groups (P ＞ 0.05). Conclusions Percutaneous puncture and catheterization sclerotherapy for the treatment of kidney cyst under ultrasonographic guidance has some advantages as good efficacy, less traumatic, rapid recovery and fewer complications. It is especially suitable to be used in the primary hospital.
