肾囊肿穿刺引流硬化术后引流方案分析

Analysis of Drainage Program after Percutaneous Catheterization Drainage and Alcohol Sclerosis in Treatment of Renal Cysts

目的探讨经皮穿刺置管引流硬化治疗单纯性肾囊肿的参考引流方案。方法方便收集该院2011年1月—2015年12月行超声引导下经皮穿刺引流硬化术治疗的单纯性肾囊肿患者54例,选取穿刺和引流过程顺利的51例患者作为研究对象。术后引流24 h拔除引流管作为第一方案,引流48 h拔除引流管作为第二方案,引流72 h后拔除引流管作为第三方案,分析不同方案的临床意义。结果按第一方案,引流24 h达到治愈效果,共可拔除引流管19例,占37.3%;按第二方案,引流48 h达到治愈效果,共可拔除引流管48例,占94.1%;按第三方案,51例患者均可实施。第一方案与第二方案比较,差异有统计学意义(P﹤0.05);第二方案与第三方案比较差异无统计学意义(P﹥0.05)。结论经皮穿刺引流硬化术后24 h行二次硬化治疗,术后48 h拔除引流管,可作为治疗单纯性肾囊肿的参考引流方案。

Objective To study the reference drainage program of percutaneous catheterization drainage and alcohol sclerosis in treatment of simple renal cysts. Methods 54 cases of patients with simple renal cysts treated with ultrasound-guided percutaneous catheterization drainage and alcohol sclerosis in our hospital from January 2011 to December 2015 were collected, 51 cases of patients with smooth puncture and drainage process were selected as the research object, after operation,the drainage tube removed at 24 h after drainage was regarded as the first program, removed at 48 h after drainage was regarded as the second program, removed at 72 h after drainage was regarded as the third program, the clinical significance of different programs was analyzed. Results According to the first program, 24 h of drainage could reach the cure effect, the drainage tubes of 19 cases could be removed in total, accounting for 37.3%, according to the second program, 48 h of drainage could reach the cure effect, the drainage tubes of 48 cases could be removed in total, accounting for 94.1%, according to the third program, the drainage tubes of all 51 cases could be removed, the difference between the first program and the second program was statistically significant, P〈0.05, the difference in the second program and the third program was not statistically significant P 〉0.05. Conclusion The second sclerosis treatment at 24 h after percutaneous catheterization drainage and the drainage tube removed at 48 h after operation can be used as the reference drainage program of treating the simple renal cysts.