Gelet A, Viguier J L, Martin X, Lévêque J M, Dubernard J M
Service d'Urologie et Chirurgie de la Transplantation, Hôpital Edouard Herriot, Lyon.
Prog Urol. 1991 Oct;1(5):880-8.
Percutaneous treatment of renal cysts is an effective and minimally invasive alternative to surgery for the treatment of simple, symptomatic renal cysts or cysts complicated by renal stones or hydronephrosis. Moderately large cysts and parapelvic cysts should be treated by sclerotherapy, while very large and peripheral cysts should be resected percutaneously. A series of 29 cysts was treated: 6 percutaneous resections, 22 scleroses, 1 simple puncture-aspiration. Pain relief was obtained in 96% of cases. Resolution of hydronephrosis and renal stones was obtained in 100% of cases. The morbidity (infection, haematoma) was low (10%), but 9 patients (32%) presented with a small residual cavity which, in 1 case, evolved towards a true recurrence of the cyst. The long-term outcome of these asymptomatic residual cavities is unknown.
经皮治疗肾囊肿是治疗单纯性、有症状肾囊肿或合并肾结石或肾积水的囊肿的一种有效且微创的手术替代方法。中等大小的囊肿和肾盂旁囊肿应采用硬化治疗，而非常大的外周囊肿应经皮切除。共治疗了29个囊肿：6例行经皮切除，22例行硬化治疗，1例行单纯穿刺抽吸。96%的病例疼痛缓解。100%的病例肾积水和肾结石得到缓解。发病率（感染、血肿）较低（10%），但9例患者（32%）出现小的残留腔，其中1例发展为囊肿真正复发。这些无症状残留腔的长期转归尚不清楚。
