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1、介入性超声治疗肾囊肿疗效分析安徽省蒙城县中医院闫振济摘要:目的:观察介入性超声治疗术治疗肾囊肿的疗效。方法:采用介入性超声治疗术、治疗肾囊肿。治疗对象为2006年一2011年我院门诊或住院患者,总人数231例,年龄6岁至90岁,平均57.2岁,单侧单发186例、其中左肾单发81例、右肾单发79例,双肾单发26例.。单侧多发20例,其中左肾多发6例,右肾多发3例,双肾多发11例。囊肿最小10X10mm、最大120X100mm大小。结果:囊肿直径10—40mm者139例,1---3个月囊肿消失;囊肿直径40—60mm者62例,3—6个月囊肿消失;囊肿直径60—80mm者12例,6—9个月囊肿
2、消失;囊肿直径80--100mm者9例,进行二至三次治疗后囊肿消失。囊肿直径>100mm者5例,需二至三次或多次治疗后囊肿消失。结论:介入性超声治疗术,是在超声显像的基础上,为进一步满足临床诊断和治疗的需要发展起来的一门新技术。其主要特点是在实时超声的监视和引导下,完成抽吸、注药治疗等操作,其目的是避免不必要的剖腹手术。特别是对年幼或年老体弱的患者,既能从根本上治疗疾病,又不影响美观,费用开支低,更不会影响肾脏生理功能,是治疗肾囊肿有效可行的方法。由于硬化剂对细胞有较强的脱水作用,当注入囊肿内时,可使囊肿内壁变性、坏死、失去分泌的功能,致使囊肿内皮细胞萎缩,使囊肿缩小至消失。避免了外科手
3、术所带来的巨大创伤,完整保留了肾脏,此方法可以达到与外科手术相媲美的治疗效果,介入性超声治疗术治疗肾囊肿优于外科手术。关键词:介入性超声、肾囊肿、外科手术InterventionalultrasoundtreatmentofrenalcystcurativeeffectanalysisAnnhuiprovincecitycountybythehospitalLiXiaoYan YanZhenJi Abstract:Objective:toobservetheinterventionalultrasoundtreatmentthecurativeeffectofsurgicaltreat
4、mentofrenalcyst.Methods:interventionalultrasoundtreatmenttechnique,thetreatmentofrenalcyst.Treatmentobjectfor2006yearsinour2011outpatientorhospitalizationpatients,totalnumberof231cases,aged6yearsoldto90yearsold,anaverageof57.2years,186patientswithunilateralsingle,theleftrenalsingle81cases,79cases
5、ofrightkidneysingle,doublekidneysingle26cases..Unilateralmultiple20patientswithleftrenalmultiple6cases,rightrenalmultiple3cases,doublekidneymultiple11cases.Cystminimum10x10mm,maximum120x100mmsize.Results:cystdiameter10-40mmperson139cases,1-3monthscysts4/4disappear;Cystdiameter40-60mmperson62examp
6、les,3-6monthscystsdisappear;Cystadiameterof60-80mmpersonin12cases,6-9monthscystsdisappear;Cystdiameterof80-100mmis9cases,fortwotothreetimesaftertreatmentcystsdisappear.Cystdiameter>100mmpersonin5patients,andshouldbetwotothreetimesormoreaftertreatmentcystsdisappear.Conclusion:interventionalultraso
7、undtreatmenttechnique,isinthebasisofultrasonicimaging,tofurthersatisfytheclinicaldiagnosisandtreatmentoftheneedofthedevelopmentofanewtechnology.Itsmaincharacteristicisinrealtimeultrasoundmonitoringandguidance,thecomple