Ba U R, Urenkov S B
Urol Nefrol (Mosk). 1996 May-Jun(3):8-12.
The authors have gained the experience of diagnosis and treatment of renal cysts in 182 patients. The disease was asymptomatic in 12 patients. The final diagnosis was established after ultrasound scanning in 98.35% of cases. At 3-92 month follow-up the recurrences arose in 26 (15.75%) from 165 patients subjected to transcutaneous puncture with administration of 96% alcohol for 10-15 min without draining. Another puncture was carried out in 9 (5.56%) patients. The recurrences were seen in all the 11 patients in whom aspiration was not followed by alcohol administration. 7 cases needed repeat puncture. The authors advocate transcutaneous puncture sclerotherapy with the use of 96% alcohol for treatment of symptomatic and large cysts of the kidneys.
作者积累了182例肾囊肿患者的诊断和治疗经验。12例患者无症状。98.35%的病例经超声扫描后确诊。在165例接受经皮穿刺并注入96%酒精10 - 15分钟且不引流的患者中,3 - 92个月随访时有26例(15.75%)复发。9例(5.56%)患者进行了再次穿刺。在11例仅抽吸而未注入酒精的患者中均出现复发,7例需要重复穿刺。作者主张使用96%酒精进行经皮穿刺硬化治疗有症状的和较大的肾囊肿。