个体化单纯性肾囊肿治疗方案探讨

Individualization therapy of simple renal cyst

目的探讨一种合适的单纯性肾囊肿治疗方案以提高肾囊肿的治愈率。方法回顾性分析383例单纯性肾囊肿患者的临床资料,分析患者全身情况、囊肿特点及囊肿大小等特点与成功治疗肾囊肿的相关性。结果接受经皮穿刺引流并反复注射无水乙醇的患者128例,接受经皮穿刺引流并反复注射无水乙醇联合生物蛋白胶治疗的患者157例,接受经腹膜后腹腔镜肾囊肿去顶减压术联合生物蛋白胶治疗的患者98例,其中有效率为98.7%,治愈率为93.2%。无其损伤脏器、感染性休克、化学性肾盂肾炎等严重并发症。结论并非所有单纯性肾囊肿患者实施同一化治疗方案,应该个体化对待。

Objective To investigate an appropriate therapy of simple renal cyst,in order to improve the cure rate of simple renal cyst.Methods The clinical data of 383 patients with simple renal cyst were retrospectively analyzed.Results Of the 383 patients,157 patients were accepted the percutaneous puncture catheterization drainage and repeated ethanol combined with biological fibrin glue injection underguide the color Doppler ultrasound,128 patients were accepted the percutaneous puncture catheterizatio drainage and repeated ethanol injection underguide the color Doppler ultrasound,98 patients were accepted retroperitoneal laparoscopic operations combined with biological fibrin glue injection.Follow-up 0.5 to 3 years.The effective rate was 98.7% and the cure rate was 93.2%.There had no complications such as bleeding,infection and organ injuries.Conclusion Different patients have different anatomical structure,the treatment of simple renal cyst not be treated unification,but individualization.