Nikolov S, Lilov A, Mikhaĭlov P
Khirurgiia (Sofiia). 1996;49(1):21-4.
Experience had with percutaneous puncture treatment under echographic control in 122 patients presenting kidney cysts is shared. The indications and contraindications for treatment, puncture technique applied and drugs used for cyst epithelium sclerosis are discussed, followed by a description of an original method of cyst cavity draining. In all patients with cyst drainage duely performed the outcome of treatment is successful. Good therapeutic results upon using sclerosing substances are attained in 88.7 per cent, while in cysts not subjected to medication-in 64.3 per cent, or else the total of positive outcomes amounts to 81.8 per cent. After puncture, it is advised to insert a drain into the cystic cavity, and invariably administer sclerosing substances. The readily performed technique of puncture, lack of serious complications, short hospitalization and prompt recovery of the ability for work are unquestionable advantages of the method proposed. In case of cyst recurrence it is possible to perform secondary puncture.
分享了对122例肾囊肿患者进行超声引导下经皮穿刺治疗的经验。讨论了治疗的适应证和禁忌证、应用的穿刺技术以及用于囊肿上皮硬化的药物，随后描述了一种囊肿腔引流的原始方法。在所有囊肿引流操作得当的患者中，治疗结果均成功。使用硬化剂的治疗效果良好率为88.7%，未用药的囊肿治疗效果良好率为64.3%，总体阳性结果率为81.8%。穿刺后，建议在囊肿腔内插入引流管，并始终给予硬化剂。该方法具有穿刺技术操作简便、无严重并发症、住院时间短和工作能力恢复迅速等优点。如果囊肿复发，可以进行二次穿刺。
