超声引导下改良硬化法治疗肾囊肿的疗效及安全性.docVIP

超声引导下改良硬化法治疗肾囊肿的疗效及安全性 李秦 孙厚坦 赵威武 陈朝旻 赵静 徐晓燕 滕红 解放军兰州总医院安宁分院影像特诊科 兰州介入超声诊疗技术研究中心 X 关注成功！ 加关注后您将方便地在 我的关注中得到本文献的被引频次变化的通知！ 新浪微博 腾讯微博 人人网 开心网 豆瓣网 网易微博 摘????要： 目的:探讨超声引导下改良硬化法治疗肾囊肿的疗效及安全性。方法:选取2015-032017-01我院肾囊肿患者26例为观察组, 采用超声引导下改良硬化法治疗;回顾性分析2010-012016-12肾囊肿患者26例为对照组, 给予经超声引导下传统无水乙醇硬化治疗。对比2组术后不良反应及术后1、3、6个月的治疗效果。结果:2组均一次穿刺成功, 次日复查均无包膜下血肿及周围渗漏。观察组3例出现轻微侧腹胀痛, 5例出现短暂刺激性疼痛, 无醉酒样反应;对照组5例出现轻微侧腹胀痛, 20例出现短暂刺激性疼痛, 17例出现面红、心悸、头晕、恶心等醉酒症状, 2组不良反应比较, 差异有统计学意义 (P0.05) ;观察组术后1、3、6个月的治疗效果明显优于对照组, 差异有统计学意义 (P0.05) 。结论:超声引导下改良硬化法治疗肾囊肿疗效优于传统无水乙醇硬化治疗, 患者耐受性好, 不良反应少, 是一种较为安全有效的治疗方法, 值得推广。 关键词： 肾囊肿; 硬化治疗; 聚桂醇; 乙醇; 作者简介：李秦 (1982—) , 女, 主治医师, E-mail:jrzx2011@126.com 作者简介：孙厚坦, 男, 主任医师, E-mail:jrzx2011@126.com 收稿日期：2017-08-20 Efficacy and safety of ultrasound-guided modified sclerotherapy on renal cysts LI Qin SUN Houtan ZHAO Weiwu Department of Imaging Clinic, the Anning Branch of Lanzhou General Hospital of PLA; Abstract： Objective:To evaluate the efficacy and safety of ultrasound-guided modified sclerotherapy on renal cyst.Methods:Twenty-six cases with renal cyst from March 2015 to January 2017 were selected as observation group, and were treated with ultrasound-guided modified sclerotherapy.Twenty-six patients with renal cyst admitted from January 2010 to December 2016, were selected as control group, and were treated with ultrasound guided traditional anhydrous ethanol sclerotherapy.The adverse reactions and treatment effects of the one month, three months and six months after the operation were compared.Results:Two groups were successfully punctured, and there was no subcapsular hematoma and leakage around in the next day.In the observation group, slight side abdominal distending pain occurred in 3 cases, transient irritative pain occurred in 5 cases without any drunken reaction.In the control group, slight side abdominal distending pain occurred in 5 cases, transient irritation pain occurred in 20 patients, 17 cases appeared drunkenness symptoms, such as flushing, palpi