摘要
目的:评价介入超声硬化疗法治疗高危良性肾囊性病变的安全性和远期疗效。方法:对105例高危人群(包括合并肾功能不全、心功能不全、脑梗塞、慢性呼吸功能障碍、糖尿病、高龄(年龄>70岁)患有良性肾囊性病变(单纯性肾囊肿99例、多囊肾2例、肾囊肿合并囊内感染4例)采用实时超声引导穿刺硬化治疗,对直径>7cm及囊内积脓者治疗后保留套管持续引流。结果:单纯性肾囊肿中60例治疗后随访3年,23例随访9个月,64例囊肿完全消失、无复发;16例残囊直径小于3cm,无继续增大。2例多囊肾随诊1例,治疗后9个月内肾功有改善。4例肾囊肿合并囊内感染者治愈,治疗后3年无复发,治疗后无严重并发症。结论:介入超声硬化疗法治疗良性肾囊性病变在高危病人中具有安全、创伤小、经济、有效等优点,值得推荐应用。
Objective：To evaluate safety and the prostecdtive efficacy of interventional ultrasonic sclerotherapy for the treatment of benign renal cystic diseases in high-risk patient.Methods：99 cases（including renal inadequacy、 cardiac inadequacy、cerbral infarction、chronic respiratory dysfunction、diabetes、elderly over 70years,）of benign renal cystic diseases（99 cases of simple renal cysts,2 cases of adult polycystic kidney disease,4 cases of renal cyst complicating infection）underwent percutaneous puncture and sclerotherapy by real-time ultrasonic guidance.After the treatment,the intracystic catheters were preserved in the cysts beyond 7cm in diameter and the infected cysts followed by persistent drainage.Results：60 cases and 23 cases of simple renal cysts were followed up 3 years and 9 months respectively after treatment.Among them,64 cysts completely disappeared without reoccurrence,and 16 cases of reliquus renal cysts less 3cm in diameter did not grow afterward.2 cases of adult polycystic kidney disease were followed up 9 months.For 1 cases of them,the renal function improved gradually.no significant deterioration occurred,4 cases of renal cyst complicating infection did not recur 2 years after treatment.There was no severe morbidity in all patients after treatment.Conclusion：It suggests that interventional ultrasonic sclerotherapy is safe,less traumatic,effective and inexpensive,and still be recommended as the first-choice procedure in the treatment of benign renal cystic diseases in high-risk patient.
出处
《黑龙江医药》
CAS
2012年第2期298-300,共3页
Heilongjiang Medicine journal
关键词
肾疾病
囊性
介入超声学
硬化剂治疗
高危高龄
Kidney disease
cyst
Interventional ultrasound
Sclerotherapy
elderly high risk
