摘要
目的探讨一次CT导引下于左右两侧肾区分别置针进行穿刺抽吸、注射硬化剂治疗肾囊肿的应用价值。方法在一次CT导引下分别于脊柱两侧肾区内确定穿刺点、设计穿刺路径,分别给予交替穿刺、抽吸、冲洗、保留乙醇等治疗步骤,对19例多发肾囊肿进行硬化治疗。结果通过对19例两侧多发肾囊肿患者同时进行硬化治疗的时间统计,最短延长20 min,最长延长35 min,平均延长23 min。结论在熟练掌握常规CT导引穿刺技术的基础上开展一次CT导引下置双针硬化治疗双肾多发肾囊肿是一种减少硬化治疗次数,节俭医疗费的实用方法,19例患者均能耐受穿刺所延长的时间,收到了事半功倍的效果。
Objective To evaluate CT-guided once-through bilateral percutaneous needle puncturing,aspiration and injection of sclerotic agents（ethanol） in treating bilateral multiple renal cysts.Methods CT-guided once-through bilateral percutaneous needle puncturing sclerotic therapy was performed in 19 patients with bilateral multiple renal cysts.First,under CT guidance the puncture points and puncture routs were decided,then,puncturing,aspiration,rinsing and ethanol injection of the cysts were taken place by turn.The clinical results were analyzed.Results Bilateral percutaneous needle puncturing sclerotic therapy was successfully completed in all 19 cases.The whole procedure was well tolerated by all patients.The mean operative time was 23 minutes with a range of 20-35 minutes.No severe complications occurred.Conclusion With proficient manipulation,CT-guided bilateral percutaneous needle puncturing sclerotic therapy for bilateral multiple renal cysts can be smoothly carried out.The technique can reduced the number of sclerotherapy times,cut down the medical expenses and,therefore,get twofold results with half the effort
出处
《介入放射学杂志》
CSCD
北大核心
2011年第6期474-475,共2页
Journal of Interventional Radiology
关键词
CT导引
置双针
硬化治疗
多发肾囊肿
CT-guidance
bilateral needle implantation
sclerotherapy
multiple renal cyst cysts
