CT引导下经皮穿刺肝肾囊肿硬化剂治疗.pdf

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1、昆明医科大学学报2014，35(9)：138—140CN53—1221／RJournalofKunmingMedicalUniversityCT引导下经皮穿刺肝肾囊肿硬化剂治疗王世平(昆明昆钢医院介入放射科，云南安宁650302)[摘要]目的探讨CT引导经皮穿刺肝、肾囊肿硬化剂治疗的方法和疗效．方法本组患者均经CT平扫+增强扫描确诊为单纯性肝、肾囊肿，在CT引导定位经皮穿刺肝、肾囊肿内，抽出少量囊液送病检，用1％的利多卡因行囊腔麻醉后，抽净囊液，注入无水乙醇，量为囊液的25％，变化体位保留15～20rain后抽净，再

2、次注人无水乙醇5—10mL保留．术后分别于3月及6月复查CT扫描对比．结果随访119例，肝、肾囊肿169个，消除138个，有效29个，无效2个，消除率81．7％，有效率98．8％．肝囊肿16例，16个囊肿，治愈率75．00％，随访肾囊肿103例153个囊肿，消除率79．7％，有效率98．7％，除1例肉眼血尿5天，其余病例无严重并发症发生．结论CT引导下经皮穿刺肾囊肿硬化剂治疗安全有效、准确性高、并发症低，能达到使囊肿缩小以至消失的治疗效果．[关键词]CT引导；肝肾囊肿；无水乙醇；硬化剂[中图分类号]R445．3[文献

3、标识码]A[文章编号]2095-610X(2014)09—0138—03CT---guidedPercutaneousSclerotherapyforLiverandKidneyCystWANGShi-ping(Dept．ofInterventionalRadiology，HospitalofKunmingIron&SteelGroupCo．，Ltd．，KunmingYunnan650302，China)[Abstract]ObjectiveToinvestigatethemethodsandefficacyofCT

4、-guidedpercutaneoussclerotherapyforthetreatmentofliverandkidneycyst．MethodsThepatientswereconfirmedbyCTscanandenhancedscandiagnosedassimplehepaticorkidneycyst．TheyweretreatedwithCT-guidedpercutaneouspositioningliverandkidneycyst，andthenasmallamountofcystfluidex

5、tractwassenttopathologicalexamination．Afteranesthesiawithl％lidocaine，thecystfluidwasextractedandethanolwasinjectedtotheamountof25％ofcystfluid．Then，fluidwasextractafterbodypositionchangesfor15-20minutes．and5—10mLethanolwasinjectedagaininreserve．CTscanwasconducte

6、drespectivelyafteroperationforthreeorsixmonths．ResultsThefollow—up119cases，liverandkidneycystsoccuredin169cases，amongwhich138cystswereeliminated，29cystswereeffectiveand2cystswereinvalid，withtheeliminationrateof81．7％andeficiencyof98．8％．16casesofhepaticcystsshowe

7、d16cysts，andthecureratewas75．00％．103caseswith153kidneycystswerefollowedup，andtheeliminationandeficiencyratewas79．7％and98．7％．respectively．Exceptonecaseofgrosshematuriafivedays，therewerenoseriouscomplicationsintheremainingcases．ConclusionCT-guidedpercutaneouskidn

8、eycystsclerotherapywassafety，effective，highaccuracyandlowcomplication，whichcouldachievenarrowtherapeuticeffectaswellascystsdisappear．1KeywordsjCT-guided；Liverandkidneycyst；E