经皮穿刺肝肾囊肿硬化剂治疗(附20例报告)

Percutaneous Needle Puncture Treat Cysts of Liver and Kidney Using Ethanol Aspirate and Sclerose (Report 20 Cases)

目的：总结通过CT、US定位，在X线透视下经皮穿刺无水酒精硬化治疗肝、肾囊肿的经验。材料与方法：20例肝、肾囊肿经皮穿刺抽吸，无水酒精硬化治疗。其中肝囊肿7例，肾囊肿13例，均为单纯性囊肿。囊肿最大直径为3．8cm～18cm。用21G穿刺针穿刺，抽出囊内液体为50～1400ml，注入无水酒精的量以抽出囊液的1／5～1／4为宜，最多不超过200ml，以免酒清中毒。结果：本组随访时间为1～24个月，疗效为100％，囊肿最大直径缩小至原来的3／10～完全消失，囊肿完全消失率为40％（8／20）。并发症为发热（10％），造影剂外漏（5％），颜面潮红、心悸（10％），无严重并发症发生。结论：经皮穿刺无水酒精硬化术治疗肝、肾囊肿是一种并发症低、简便易行、安全有效的治疗方法。

Purpose: To analyse our experience under CT、 US posited with X-ray guided percutaneous needle puncture aspiration and sclerosing treatment of hepatic and renal cysts. Materials and Methods: 20 Cases percutaneous needle puncture aspiration and sclerosing treatment of hepatic and renal cysts using ethanol. Among the patients, there are 7 hepatic, 13 renal cysts.They all are solitory cysts. The cysts longest diameter are 3. 8cm ～18cm. To needle and aspirate fluid from 50ml to 1400ml, using 21 G needle. This is appropriate that volume of ethanol was injected is from 30% to 25% of cyst' s fluid volume. Most volume is less than 200ml to avoid poison. Results: To observe after treatment was from 1 to 24 months, effect was 100%, cysts were lees 3 in 10 of dispeled completely, rate of cysts dispeled were 40 % (8 in 20). Complications were fever, etc, no serious complication. Conclusion: Percutaneous needle puncture aspiration and sclerosing treatment of hepatic or renal cysts is a easy, effective,safe, low complications treating method.