CT引导下置双针穿刺硬化治疗双肾多发肾囊肿的应用及对患者血流动力学的影响

Application of CT-guided double needle puncture sclerotherapy in the treatment of multiple renal cysts and its effect on hemodynamics

目的探讨CT引导下置双针穿刺硬化治疗双肾多发肾囊肿的应用及对患者血流动力学的影响。方法选用我院在2016年1月—2018年6月所收治的双肾多发肾囊肿患者108例,平均分为两组,对照组应用腹腔镜肾囊肿去顶减压术进行治疗,研究组应用CT引导下置双针穿刺硬化进行治疗。结果研究组患者的治疗效果要优于对照组(P<0.05);研究组患者术后第1天引流量、住院天数、治疗费用以及术后复发例数都少于对照组(P<0.05);治疗前两组患者的Vs、Vd、RI、PI没有差异(P>0.05),治疗后研究组患者的Vs、Vd、RI、PI要小于对照组(P<0.05)。结论在对双肾多发肾囊肿患者的治疗过程中,应用CT引导下置双针穿刺硬化进行治疗,其治疗效果比较满意,在临床上可以进一步广泛应用。

Objective To investigate the application of CT-guided double needle puncture sclerotherapy in the treatment of multiple renal cysts of both kidneys and its influence on hemodynamics.Methods 108 patients with multiple renal cysts of both kidneys admitted by our hospital from January 2016 to June 2018 were selected and divided into two groups on average.The control group was treated with laparoscopic renal cyst decapitation and decompression,and the experimental group was treated with CT-guided double-needle puncture sclerosis.Results The therapeutic effect of the experimetnal group was better than that of the control group(P<0.05).The number of drainage volume,hospitalization days,treatment costs and postoperative recurrence cases in the study group on the first day after surgery were less than those in the control group(P<0.05).No difference in Vs,Vd,RI and PI between the two groups before treatment(P>0.05).While the Vs,Vd,RI and PI in the group after treatment were lower than those in the control group(P<0.05).Conclusion For treating patients with multiple renal cysts,double-needle puncture sclerotherapy guided by CT has a favorable therapeutic effect and would recommend for increased clinical uses.