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目的:探讨超声引导PTCD套管置管治疗肾囊肿的临床效果。方法:将132例肾囊肿患者随机分为A组46例和B两组86例,A组采用在直接穿刺注入无水乙醇进行硬化治疗,B组采用超声引导PTCD套管置管灌注无水乙醇行硬化治疗,比较两组手术时间、术中出血量、住院时间、手术费用及术后1年、2年的复发率。结果:两组手术时间比较无明显差异(P>0.05),A组手术费用低于B组(P<0.05),但术后1年、2年复发率均高于B组(P<0.05)。结论:经超声引导PTCD套管置管治疗肾囊肿疗效可靠,具有操作简便、安全性高、术后复发率低等优点,值得临床推广应用。
Objective: To investigate the clinical effect of ultrasound guided PTCD cannula in the treatment of renal cysts. Methods: 132 patients with renal cyst were randomly divided into group A (n = 46) and group B (n = 86). Group A received sclerectomy by direct puncture with absolute ethanol and group B with ultrasound-guided PTCD cannulation The patients underwent sclerotherapy. The operation time, intraoperative blood loss, hospitalization time, operation cost and recurrence rate of 1 year and 2 years after operation were compared. Results: There was no significant difference in operative time between the two groups (P> 0.05). The cost of operation in group A was lower than that in group B (P <0.05), but the recurrence rates at 1 year and 2 years after operation were significantly higher than those in group B (P <0.05) . Conclusion: Ultrasound-guided PTCD cannula tube for the treatment of renal cysts is reliable, with the advantages of simple operation, high safety and low postoperative recurrence rate, which is worthy of clinical application.