El Harrech Y, Sossa J, Chafiki J, Janane A, Ameur A, Abbar M
Service d'Urologie, Hôpital Militaire Universitaire Mohammed V, Rabat, Maroc.
J Radiol. 2009 Sep;90(9 Pt 1):1075-8. doi: 10.1016/s0221-0363(09)73247-0.
To assess prospectively the results of percutaneous sclerotherapy with povidone-iodine of symptomatic renal cysts in adults.
Fifty two patients were included in this study from august 2004 to november 2006. The operative indication was: pain (41 cases), urinary tract compression (8 cases), and very large cyst (3 cases). The preoperative assessment (site and dimensions of the cyst) always included ultrasonography. CT scan, for morphological assessment, was performed in 39 cases.
The mean age of patients was 63 years (47-75 years). The mean diameter was 76 mm. The cysts were punctured in all the cases directly under local anaesthesia and guided by sonography. The procedure was very well tolerated in every case, with external drainage for 72 hours. Clinical regression was complete in 48 cases (92%), with total ultrasonographic disappearing of the cysts in 31 cases (60%) with a mean follow-up of 14 months (3-29 months).
Percutaneous sclerotherapy with povidone-iodine is a safe, effective and reproducible treatment of symptomatic renal cysts in adults.
前瞻性评估聚维酮碘经皮硬化疗法治疗成人有症状肾囊肿的效果。
2004年8月至2006年11月，本研究纳入了52例患者。手术指征为：疼痛（41例）、尿路受压（8例）和巨大囊肿（3例）。术前评估（囊肿的部位和大小）均包括超声检查。39例行CT扫描以进行形态学评估。
患者平均年龄63岁（47 - 75岁）。平均直径为76毫米。所有病例均在局部麻醉下并在超声引导下直接穿刺囊肿。每例患者对该操作耐受性良好，外置引流72小时。48例（92%）临床症状完全消退，31例（60%）囊肿在超声检查中完全消失，平均随访14个月（3 - 29个月）。
聚维酮碘经皮硬化疗法是治疗成人有症状肾囊肿的一种安全、有效且可重复的治疗方法。
