超声引导下细针穿刺硬化治疗肾囊肿疗效观察(附216例报告)

A clinical analysis of sclerotherapy of renal cyst(Report of 216 cases)

目的 :探讨超声引导下细针穿刺硬化治疗肾囊肿的疗效。方法 :1991～ 1998年在 B超引导下分别采用无水乙醇、四环素针剂、酸化维生素 C行细针穿刺硬化治疗肾囊肿 2 16例。结果 :术后 3个月随访 ,无水乙醇有效率为 95 .74% (90 / 94) ,四环素针剂有效率为 89.74% (35 / 39) ,酸化维生素 C有效率为 93.98% (78/ 83) ,三者经 χ2检验无显著性差异 (P >0 .0 5 )。结论 :在超声引导下对肾囊肿行细针穿刺硬化治疗简单易行 ,并发症少 ,疗效确切 。

Purpose:This paper explores in the light of sclerotherapy to renal cyst under the condition of intervenous ultrasound.Methods:From 1991 to 1998 three kinds of sclerotherapy of paracentesis,using respectively absolute alcohol,achromycin injection and acidulated vitamin C injection, and guided by ultrasonography, were performed on 216 subjects suffering renal cyst.Results:Statisitc data collected from interviews with these subjects three months after the operation show that either the cyst disappeared or the cyst diameter was shrunk by 1/2, indicating the effectiveness of the method.Among these cases,the effectiveness produced by absolute alcohol accounts for 95.74%(90 out of 94 cases); the ffectiveness produced by achromycin injection accounts for 89.74%(35 out of 39 cases) and the effectiveness by acidulated vitamin C injection, 93.98 %(78 out of 83 cases);The 2 test shows no significant difference ( P >0.05).Conclusions:This shows that the sclerotherapy of paracentesis using intervenous ultrasound to renal cyst proves to be simple,effective,precise and produces less side effect,thus one of the optimum therapy for renal cyst nowadays.