CT导引下肝肾囊肿抽吸硬化治疗

CT Guided Puncture Aspiration and Sclerosing Treatrment of hepatic and Renal Cysts

目的:总结CT导引下肝肾囊肿穿刺抽吸硬化治疗的疗效和操作经验。材料和方法:肝囊肿11例,肾囊肿15例,多囊肾1例,囊肿大小为3.5～12cm,均用15cm长20G Greene针穿刺治疗,抽出囊液量为21～550ml,囊液抽净后注入99.7％的无水酒精。结果:治疗后症状均有明显好转或消失,本组随访肝囊肿7例、肾囊肿11例,疗效指数Ⅰ级1例(多囊肾),Ⅱ级肝肾囊肿各2例,Ⅲ级肝囊肿5例肾囊肿8例。穿刺操作顺利,无严重并发症发生。结论:CT导引下肝肾囊肿抽吸硬化治疗操作简便、创伤小、疗效高可作为替代外科手术的有效的治疗方法,多囊肾的单纯抽吸治疗可明显减轻症状,改善肾功能,是一种较好的治疗手段。

Purpose: To summarize the efficiency and the experience of the puncture aspiration and sclerosing therapy of hepatic and renal cysts. Materials and methods: 27 patients were treated with percutaneous aspiration and alcohol injection of the cystic cavity using 20G Greene needles. Among the 27 patients, 11 were with hepatic cyst, 15 with renal cyst, and 1 with polycystic kidneys. The size of cysts ranged from 3.5 to 12 cm, and the amount of aspirated fluid varied from 21 to 550ml. Pure alcohol (99. 7%) was injected into the cavities after apiration. Results: All the puncture procedures were successful, and no major complications occurred, The clinical symptoms were relieved or disappeared after the treatment. 18 cases were followed for 3 months to 5 years. The efficient indices: Grade I one case (polycystic kidneys), Grade Ⅱ 4 cases and Grade Ⅲ 13 cases. Conclusion: CT guided percutaneous puncture aspiration and sclerosing treatment of hepatic and renal cysts can be considered as an effective alternative to surgical treatment. The simple aspiration of polycystic kidneys is very helpful in relieving symptoms and improving renal functions.