CAJ | 학술논문

[目的]探讨B超引导下经皮肾穿刺联合无水酒精注射在治疗小儿单纯性肾囊肿(simple renal cyst,SRC)的效果.[方法]对本组9例小儿SRC患者在B超引导下经皮肾穿刺抽取囊液,同时按抽取囊液体积的20%~30%注入无水酒精.术后观察患儿症状改善情况及复查B超了解SRC大小变化.本组病例术后B超随诊时间均为12个月,分别于术后1、3、6、12个月复诊.[结果]本组9例患者,治疗1个月后SRC体积均较治疗前有所减少;治疗3个月后,4例SRC完全消失,4例体积缩小50%以上,1例SRC体积缩小<50%;治疗6个月后,6例SRC完全消失,2例体积缩小90%以上,1例SRC体积缩小<50%;治疗12个月后,7例SRC完全消失,1例体积缩小90%以上,1例SRC体积缩小<50%,后1例准备再次行穿刺注射治疗,但家属拒绝.患者治疗期间均未出现严重不良反应,3例有暂时性注射部位疼痛,1例出现发热,出院时均缓解,无其余不适主诉.随访期内腰痛、血尿、泌尿系感染症状均较前缓解.[结论]B超引导下经皮肾穿刺+无水酒精注射治疗小儿SRC,具有安全、有效、微创的特点,在基层医院可作为小儿治疗SRC的主要方法.
[목적]탐토B초인도하경피신천자연합무수주정주사재치료소인단순성신낭종(simple renal cyst,SRC)적효과.[방법]대본조9례소인SRC환자재B초인도하경피신천자추취낭액,동시안추취낭액체적적20%~30%주입무수주정.술후관찰환인증상개선정황급복사B초료해SRC대소변화.본조병례술후B초수진시간균위12개월,분별우술후1、3、6、12개월복진.[결과]본조9례환자,치료1개월후SRC체적균교치료전유소감소;치료3개월후,4례SRC완전소실,4례체적축소50%이상,1례SRC체적축소<50%;치료6개월후,6례SRC완전소실,2례체적축소90%이상,1례SRC체적축소<50%;치료12개월후,7례SRC완전소실,1례체적축소90%이상,1례SRC체적축소<50%,후1례준비재차행천자주사치료,단가속거절.환자치료기간균미출현엄중불량반응,3례유잠시성주사부위동통,1례출현발열,출원시균완해,무기여불괄주소.수방기내요통、혈뇨、비뇨계감염증상균교전완해.[결론]B초인도하경피신천자+무수주정주사치료소인SRC,구유안전、유효、미창적특점,재기층의원가작위소인치료SRC적주요방법.
Objective] To discuss the effect of percutaneous renal puncture combined with anhydrous alcohol injection under ultra-B on simple renal cyst(SRC). [Method] To 9 cases, draw 20%~30%of cyst fluid and injected with anhydrous alcohol. After operation, observe patients' symptoms relieve and test ultra-B to SRC. Fol ow up for 12m, return visit at 1st, third, 6th and 12th month after operation. [Result] After 1m of treatment, SRC size was reduced compared to before treatment; after 3m, SRC in 4 cases disappeared completely, 4 reduced to more than 50%, 1 reduced to less than 50%; after 12m, 7 cases of SRC disappeared completely, 2 reduced to over 90%, 1 reduced to <50%;after 6m, 6 disappeared completely, 1 reduced to more than 90%, 1<50%;1 case refused to make another puncture. Patients had no severe side effects in treatment;3 had temporary pain in injection site, 1 had fever, and they were relieved al after out of hospital. In fol ow-up period, the symptoms of waist pain, blood urine and urinary system infection were relieved much. [Conclusion] The said method is safe, effective and mini-invasive, and can be taken as main therapy for children SRC in basic hospitals.