摘要
目的探讨B超导向经皮穿刺注射乙醇用于肾囊肿的疗效及安全性。方法选取该院2012年2月—2014年2月收治的120例肾囊肿患者为研究对象,将患者抽签随机分为观察组与对照组,每组60例。对照组采用腹腔镜囊肿去顶术进行治疗,观察组采用B超导向经皮穿刺注射乙醇进行治疗。对两组术中囊液抽出量、疗效及术后不良反应发生情况进行比较。结果观察组术中囊液抽吸量、治疗总有效率分别为(85.72±10.34)mL、88.33%,与对照组比较差异无统计学意义(P>0.05);治疗后,观察组腰部酸胀发生率为15.00%,与对照组比较差异有统计学意义(P<0.05),发热、血尿、皮下气肿及并发症总发生率分别为5.00%、0.00%、6.67%、26.67%,与对照组比较差异无统计学意义(P>0.05)。结论 B超导向经皮穿刺注射乙醇治疗肾囊肿疗效显著,患者恢复较快,术后部分患者会出现腰部酸胀及发热等现象,但并发症总发生率与腹腔镜囊肿去顶术相比差异无统计学意义,安全可行,值得应用于临床。
Objective To explore the superconducting B to percutaneous puncture ethanol injection curative effect for renal cyst and security. Methods Choose from February 2012 to February 2014, 120 cases of renal cyst patients as the research object, will draw randomly divided into observation group and control group, patients with 60 cases in each group. Control group using laparoscopic cyst unroofing surgery treatment, observation group adopts B superconducting to percutaneous puncture ethanol injection for treatment. On two groups of intraoperative fluid extraction quantity, curative effect and compare the postoperative adverse reactions occur. Results Observation group intraoperative fluid suction amount, total effective treatment （85.72 ±10.34） mL and 88.33% respectively, compared with the control group had no statistical significance （P〉 0.05）; Incidence of lumbar acid bilges after treatment, the observation group was 15.00%, compared with the control group was significantly higher （P 〈 0.05）, fever, blood in urine, subcutaneous emphysema and complication incidence of total 5.00%, 0.00%, 6.67% and 26.67% respectively, compared with the control group with no statistical significance （P〉 0.05）. Conclusion B superconducting to percutaneous puncture ethanol injection treatment of renal cyst curative effect is distinct, patients recover quickly, in some patients, the waist sour bloated and postoperative fever wait for a phenomenon, but the incidence of the complications of total and laparoscopic cyst can be compared with no obvious difference, safe and feasible, is worth for clinical application.
出处
《系统医学》
2016年第9期23-25,共3页
Systems Medicine
关键词
B超导向经皮穿刺
无水乙醇
肾囊肿
安全性
B superconducting to percutaneous puncture
Anhydrousethanol
Renal cyst
Security
