CT导向下肾囊肿的穿刺硬化治疗

CT-guided Percutaneous Ethanol Injection in the Treatment of Renal Cyst

目的 评价CT导向下经皮穿刺无水乙醇注射治疗肾囊肿的临床应用价值。资料与方法 16例 2 4个肾囊肿 ,其中单纯性肾囊肿 10例 ,肾盂旁囊肿 2例 ,多囊肾 4例。在CT导向下行穿刺无水乙醇硬化治疗 ,分析其并发症 ,并追踪观察其疗效。结果 16例中 ,2 4个囊肿顺利完成穿刺硬化治疗 ,无严重并发症发生 ,对 18个囊肿术后追踪观察 3个月～ 1年 ,0～Ⅲ级囊肿疗效个数分别为 1(5 .6 %)、2 (11.1%)、3(16 .7%)和 12 (6 6 .7%) ,临床症状缓解率为 81.8%(9/ 11)。结论 CT导向下经皮肾囊肿穿刺无水乙醇硬化治疗是一种安全有效的治疗方法。

Objective To evaluate CT guided ethanol injection (CT PEI) in the clinical treatment of renal cyst. Materials and Methods CT PEI was used to treat 24 renal cysts in 16 patients. The lesions included simple renal cyst (n=10), para pyelic cyst (n=2) and polycystic kidney (n=4). After CT PEI, 18 cysts were followed up for 3～12 months. The complications and therapeutic effect were observed.Results All the procedures were successfully completed. No severe complications occurred. During the follow up period, the effective grade 0, Ⅰ, Ⅱ and Ⅲ was 5.6% (n=1), 11.1% (n=2), 16.7% (n=3) and 66.7% (n=12), respectively. A clinical remission rate of 94.4% (17/18) was obtained, and the clinical symptoms disappeared in 81.8% of cases (9/11).Conclusion CT-PEI is a safe and effective therapeutic procedure for the treatment of renal cysts.