Huang Wei-lang, Wang You-zhi, Lin Xin, Liu Biao
Department of Radiology, Humen Hospital, Dongguan 523902, China.
Nan Fang Yi Ke Da Xue Xue Bao. 2010 Jul;30(7):1670-2.
To investigate the effect and safety of imaging-guided percutaneous catheterization drainage and alcohol sclerosis for treatment of renal cysts.
Thirty-six patients with primary renal cysts, including 22 men and 14 women aged 18-65 years (mean 42.5 years), were treated with imaging-guided percutaneous puncture catheterization drainage and alcohol sclerosis treatment. The location of the renal cysts and puncture route, angle and depth were determined by ultrasound or CT scan. Paracentesis and catheterization external drainage were carried out under fluoroscope. Absolute alcohol was used as the sclerosis agent.
Thirty-eight cysts were detected in the 36 patients, locating at the upper pole (n=21), subtus pole (n=10) and intermediate pole (n=7). The length of renal cysts was 4.5-8.5 cm (mean 5.5 cm). Puncture was performed through the lumbar back and the success rate was 100%. Thirty-eight multi-lateral holes 5-7F drainage catheters were placed in the 38 cysts. Alcohol was injected for 169 times through the drainage tube and the average volume was 25 ml, with an average injection of 4.45 times. During the follow-up for 1 to 6 years (mean 3.5 years), 37 renal cysts disappeared and 1 cyst was reduced in a patient with polycystic kidney. The total cure rate was 97% in this series, and no serious complications occurred after the operation.
Imaging-guided percutaneous puncture catheterization drainage and alcohol sclerosis is effective and safe for treatment of renal cysts.
探讨影像引导下经皮穿刺置管引流联合无水乙醇硬化治疗肾囊肿的疗效及安全性。
对36例原发性肾囊肿患者进行影像引导下经皮穿刺置管引流及无水乙醇硬化治疗，其中男性22例，女性14例，年龄18 - 65岁（平均42.5岁）。通过超声或CT扫描确定肾囊肿的位置、穿刺路径、角度及深度。在透视引导下进行穿刺及置管外引流。使用无水乙醇作为硬化剂。
36例患者共检测到38个囊肿，位于肾上极（21个）、肾下极（10个）及肾中极（7个）。肾囊肿长度为4.5 - 8.5 cm（平均5.5 cm）。均经腰背部穿刺，成功率为100%。38个囊肿均置入5 - 7F多侧孔引流管。通过引流管注入无水乙醇169次，平均注入量25 ml，平均注入次数4.45次。随访1至6年（平均3.5年），37个肾囊肿消失，1例多囊肾患者的1个囊肿缩小。本组总治愈率为97%，术后无严重并发症发生。
影像引导下经皮穿刺置管引流联合无水乙醇硬化治疗肾囊肿安全有效。
