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目的:总结超声引导下穿刺介入治疗肾盂旁囊肿的临床价值。方法:对35例肾盂旁囊肿患者在超声引导下穿刺抽液后,注射无水乙醇(剂量为抽出囊液总量的1/3),治疗后6个月复查。结果:35例患者均穿刺成功,肾孟旁囊肿的超声引导穿刺成功率为100%。6个月后进行超声复查,显效80%(28/35),有效20%(7/35)。总有效率为100%。在对患者进行超声引导介入治疗过程中4例患者出现肾区一过性疼痛,术后短时间观察症状缓解,无需进行任何特殊处理。所有患者术后均未发现其他任何并发症。术后随访12—36个月,所有患者均无复发。结论:超声引导抽吸后注射无水乙醇硬化治疗肾盂旁囊肿,简便、有效、安全可靠及费用低等优点,适合在基层医疗单位开展这项技术。
Objective: To summarize the clinical value of ultrasound-guided percutaneous interventional treatment of renal pelvis cyst. Methods: Thirty - five patients with renal plexus cyst were punctured with ultrasound and then injected with absolute ethanol (the dose was 1/3 of the total amount of fluid extracted). The patients were reviewed 6 months after treatment. Results: Thirty-five patients were successfully punctured. The success rate of ultrasound-guided puncture of mesangial cyst was 100%. Six months after ultrasound review, markedly effective 80% (28/35), effective 20% (7/35). The total effective rate is 100%. During the interventional treatment of patients with ultrasound guidance, 4 patients had transient pain in the kidney area and the symptoms were relieved shortly after operation without any special treatment. All patients did not find any other complications after surgery. All patients were followed up for 12-36 months without recurrence. Conclusion: Ultrasound-guided aspiration absolute alcohol sclerotherapy of parenchymal cyst is simple, effective, safe, reliable and low cost, and is suitable for primary care units to carry out this technology.