彩色多普勒超声引导下经皮穿刺留置中心静脉导管引流并反复无水乙醇硬化法治疗单纯性肾囊肿

The treatment of renal cyst with color doppler ultrasound guided percutaneous puncture catheterization drainage and absolute ethanol

目的探讨彩色多普勒超声引导下经皮穿刺留置中心静脉导管引流并反复无水乙醇硬化法治疗单纯性肾囊肿的治疗方法和临床应用价值。方法对58例原发性肾囊肿患者进行了彩色多普勒超声引导经皮穿刺留置中心静脉导管引流并反复无水乙醇硬化法治疗。结果所有患者均一次性穿刺成功，成功率100％，术后均放置中心静脉导管，经引流管共注射无水乙醇307次，平均每次20ml，随访0．53年，56个囊肿治愈。治愈率96．6％，均未出现出血与感染等并发症。结论彩色多普勒超声引导下经皮穿刺留置中心静脉导管引流并反复无水乙醇硬化法治疗单纯性肾囊肿，成功率和治愈率高，并发症少。

Objectives To investigate the effect and safety of the treatment of renal cyst with color doppler ultrasound guided percutaneous puncture catheterization drainage and absolute ethanol. Methods 58 cases with primary renal cysts were treated with color doppler ultrasound guided percutaneous puncture catheterization drainage and absolute ethanol treatment. Results 5s cysts were detected in the 58 patients. Puncture was finished and the success rate was 100%. All patients were put central venous catheter. Absolute ethanol was injected 307 times through the drainage tube and the average was 20 ml. The average times of injection was 5.1. Follow - up 0.5 to 3 years. 56 renal cysts were disappeared. The cure rate was 96.6% ,and the complications such as hemorrhage and infection were not found. Conclusions The treatment of renal cyst with color doppler ultrasound guided percutaneous puncture catheterization drainage and absolute ethanol was an effective and safe treatment method for the patients with renal cysts.