摘要
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.
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.
出处
《中国医师进修杂志》
2010年第35期8-10,共3页
Chinese Journal of Postgraduates of Medicine
基金
基金项目：浙江省苍南县科技局科技计~（2009S31）
关键词
超声检查
穿刺术
硬化疗法
肾囊肿
Ultrasonography Punctures Sclerotherapy Renal cyst
