Department of Urology Surgery, Suzhou Municipal Hospital, Suzhou, Jiangsu, China.
J Xray Sci Technol. 2013;21(3):419-28. doi: 10.3233/XST-130393.
To perform a retrospective study to compare the efficiency, safety and costs using aspiration-sclerotherapy with 95% ethanol vs. laparoscopic decortications in management of symptomatic simple renal cysts.
Patients with simple renal cysts (diamante > 4 cm) were recruited from our hospital between October 2008 and October 2012. A total of 986 patients (Group 1) underwent aspiration-sclerotherapy with 95% ethanol and 208 patients (Group 2) underwent laparoscopic decortication. All patients were followed up with ultrasonography or computerized tomography (CT) for one year. Regression rates, recurrence rates and costs were compared.
Similarity in symptoms (back pain, cloudy urine or mass in abdomen), renal cyst size, and cyst distribution, complete regression rate after treatment between the two groups; A higher recurrence rate, but shorter procedure times and lower cost in Group 1 compared to Group 2. The procedures used for both groups were safe and had minimum complications.
Aspiration-sclerotherapy, as well as laparoscopic decortication are effective and safe therapy for symptomatic simple renal cysts. Aspiration-sclerotherapy is more suitable for medium size of renal cysts, while Laparoscopic decortication is superior to the cysts in large sizes.
回顾性比较经皮穿刺抽吸硬化治疗与腹腔镜去顶术治疗症状性单纯性肾囊肿的疗效、安全性和费用。
2008 年 10 月至 2012 年 10 月期间，我院收治了直径>4cm 的单纯性肾囊肿患者。其中 986 例（第 1 组）接受了 95%乙醇抽吸硬化治疗，208 例（第 2 组）接受了腹腔镜去顶术。所有患者均接受超声或计算机断层扫描（CT）随访 1 年。比较两组的缓解率、复发率和费用。
两组患者的症状（腰痛、混浊尿或腹部肿块）、肾囊肿大小和分布相似，治疗后完全缓解率相似；第 1 组的复发率较高，但手术时间较短，费用较低。两组的手术均安全，并发症少。
经皮穿刺抽吸硬化治疗和腹腔镜去顶术都是治疗症状性单纯性肾囊肿的有效且安全的方法。经皮穿刺抽吸硬化治疗更适用于中等大小的肾囊肿，而腹腔镜去顶术则更适用于较大的肾囊肿。
