医学信息
醫學信息
의학신식
MEDICAL INFORMATION
2014年
5期
82-82
,共1页
超声%无水乙醇%肾囊肿
超聲%無水乙醇%腎囊腫
초성%무수을순%신낭종
Ultrasound%Ethanol sclerotherapy%Renal cyst
目的：回顾分析超声引导下抽液无水乙醇治疗肾囊肿的临床疗效，并探讨其技术细节。方法302例患者330个囊肿进行超声引导穿刺抽液加无水乙醇硬化治疗，囊肿最大直径约4.2~11.4cm（平均约6.2cm）。每次乙醇注入量为囊液的2/3，留置3~5min后全部抽出，重复数次至囊液清澈。结果本组病例手术成功率为100%，治愈率为97.3%，随访3~24个月，8例囊肿复发。结论超声引导下穿刺抽液无水乙醇固化治疗肾囊肿是一种创伤微小、临床效果可靠的技术。掌握操作过程中的技术细节是保证手术成功和有效，防止术后复发的关键。
目的：迴顧分析超聲引導下抽液無水乙醇治療腎囊腫的臨床療效，併探討其技術細節。方法302例患者330箇囊腫進行超聲引導穿刺抽液加無水乙醇硬化治療，囊腫最大直徑約4.2~11.4cm（平均約6.2cm）。每次乙醇註入量為囊液的2/3，留置3~5min後全部抽齣，重複數次至囊液清澈。結果本組病例手術成功率為100%，治愈率為97.3%，隨訪3~24箇月，8例囊腫複髮。結論超聲引導下穿刺抽液無水乙醇固化治療腎囊腫是一種創傷微小、臨床效果可靠的技術。掌握操作過程中的技術細節是保證手術成功和有效，防止術後複髮的關鍵。
목적：회고분석초성인도하추액무수을순치료신낭종적림상료효，병탐토기기술세절。방법302례환자330개낭종진행초성인도천자추액가무수을순경화치료，낭종최대직경약4.2~11.4cm（평균약6.2cm）。매차을순주입량위낭액적2/3，류치3~5min후전부추출，중복수차지낭액청철。결과본조병례수술성공솔위100%，치유솔위97.3%，수방3~24개월，8례낭종복발。결론초성인도하천자추액무수을순고화치료신낭종시일충창상미소、림상효과가고적기술。장악조작과정중적기술세절시보증수술성공화유효，방지술후복발적관건。
Objective To evaluate the ef ectivebess of ultrasound-guided aspiration and ethanol sclerotherapy in patients with renal ,as wel as summary to the technical details. Methods Three hundreds and thirty cysts with maximum diameter of 4.2-11.4cm (Mean 6.2cm)in 302 patiens were treated with ultrasound-guided aspiration and ethanol sclerotherapy. After aspiration of the cyst contents,approximately two-thirds of the aspirated fluid was replaced for 3 or 5 minutes,and then aspirated . The same procedure was repeated for some times to fluid. Results The technical successful rate and cure rate are 100% and 97.3%,respectively. Eight cystshad recurred at fol ow-up examinations (3-24months). Conclusions It is a simplicity and ef ectiveness technology for ultrasound guided aspiration and ethanol sclerotherapy of renal cysts . It is important to grasp technical detail about operation to ensure high technical ef ectiveness rate ang low recurrent rate.
