摘要
目的 总结CT引导下经皮腰穿针穿刺注射冰醋酸硬化治疗肾囊肿的疗效和经验。方法 CT引导下，使用成人腰穿针经皮穿刺抽液后注入45％冰醋酸治疗59例71个肾囊肿，囊肿直径2．0～8．9cm。囊液抽净后注入少量造影剂经CT扫描确定造影剂在囊内且无外漏后．用相当于1／4～1／5囊液量的45％冰醋酸冲洗囊腔2～3次，20～30min后抽净、最后注入1／5囊液量的45％冰醋酸保留于囊内。结果全部病例均穿刺硬化治疗成功，抽出囊液11～420ml。有效率100％，囊肿消失率单发者96％，单侧多发者为63％，双肾单囊者为100％。未发生严重并发症。结论CT引导经皮腰穿针穿刺注入45％冰醋酸治疗单发或多发肾囊肿，是一种操作简便且安全高效的治疗方法。
Objective To summarize the efficacy and experience of treatment of renal cyst CT-guided percutaneous lumbar puncture needle inject glacial acetic acid. Methods Guided b）, CT, passing the skin,drawing out cyst liquor then injecting 45 % glacial acetic acid with lumbar puncture needle,71 renal cyst of 59 cases was treated,cyst diameter 2.0-8.9cm. When liquor was drawn out inject a small dose of glacial acetic acid to renal cyst, then CT scan was performed to identify the drug ,solution in cyst and no leakage,the volume of 45% glacial acetic acid was equal to 1/4-1/5 cyst cubic capacity, rinses cyst 2- 3 times with the drug, after 20- 30 minutes drawn out, the final volume of 45 % glacial acetic acid equal to 1/5 cyst was injected and retained in cyst. Results ＇ All cases were laealed successfully and drew out 11 - 420m1 liquor. 100 % effective rate, unilateral single cyst disappearance rate＇, of 96 % , unilateral multiple cyst of 63 % ,bilateral solitary cyst to 100 %. No serious complications laappened. Conclusion The treatment CT-guided percutaneous lumbar puncture needle inject 45 % glacial acetic acid made cure one or more of renal cyst is of a simple and safe and efficieny operation.
出处
《中国基层医药》
CAS
2006年第10期1642-1643,共2页
Chinese Journal of Primary Medicine and Pharmacy
关键词
肾
囊性
脊柱穿刺
醋酸
硬化疗法
Kidney,cystic
Spinal puncture
Acetic acid
Sclerotherapy
