微通道穿刺引流联合输尿管镜内置双J管治疗特发性肾包膜下积液的疗效观察

Clinical effect of idiopathic subcapsular fluid collection in the treatment of microchannel puncture drainage combined with implantation Double J into Ureter

目的探讨特发性肾包膜下积液患者行肾包膜下微通道穿刺引流联合输尿管镜内置双J管的疗效。方法回顾性分析16例特发性肾包膜下积液患者的临床资料,女12例,男4例,平均年龄(40.00±4.00)岁,单侧10例,双侧6例,均经B超、静脉尿路造影术、CT及穿刺液检查明确诊断,并采用局麻B超定位下肾包膜下微通道穿刺置管引流联合输尿管镜内置双J管。结果特发性肾包膜下积液成分与单纯性肾囊肿成分相似。所有患者均手术顺利,无并发症发生,平均随访(36.80±14.20)个月,无1例肾包膜下积液复发。结论特发性肾包膜下积液为临床罕见疾病,目前病因和病理机制尚不明确,治疗上主要以对症处理为主,局麻B超定位下肾包膜下微通道穿刺置管引流联合输尿管镜内置双J管术疗效确切,值得临床推广。

Objective To evaluate the efficacy of idiopathic subcapsular fluid collection in the treatment of microchannel puncture drainage combined with implantation Double J into Ureter. Methods Data of 16 patients（4males and 12 females, average（40.00 ± 4.00） years old, 10 one sides and 6 Both sides） with idiopathic renal subcapsular effusion were retrospectively analyzed. Ultrasound, IVU, CT and puncture fluid examination were recommended to confirm the diagnosis before operation. Microchannel puncture drainage combined with implantation Double J into Ureter were performed under local anesthesia and ultrasound guidance. Results The compositions of idiopathic subcapsular fluid were similar to the simple renal cyst. All patients were successful with no complications, no relapse, the average postoperative follow-up time was（36.80 ± 14.20） months. Conclusion Idiopathic subcapsular fluid collection is rare in clinical work, the etiology and pathology mechanism of which are not yet clear, the treatments are mainly to symptoms, microchannel puncture drainage combined with implantation Double J into Ureter were performed under local anesthesia and ultrasound guidance are safe and effective, worth to promotion in clinic.