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ID:36765128
大小:2.15 MB
页数:54页
时间:2019-05-15
《单个良性肾囊肿的诊断、治疗及B超引导下穿刺抽液、无水酒精注射的疗效观察》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、中山医科大学硕士学位论文单个良性肾囊肿的诊断、治疗及B超引导下穿刺抽液、无水酒精注射的疗效观察姓名:艾尼尔申请学位级别:硕士专业:外科学指导教师:戴宇平2001.6.1at门蕊,z乒及侈髫;7弓下“扣之支趸窖’争(菇)妒建暨f设鳖+亨})呻[}题’歹翌},‘玄良竺焉北京复拦路15号15Fm2、/:口一)引挝圾1‘~,7h考乏,一,蛉0r.∥.川龇圻厶d前}~影孵地。彬(.哆么九ⅣfⅣ!..乎■L,钻即唰搬%‰偈n知乞.厘h纠‰"弘、●●/覃£k州角¨舾,旅M中以叶≯1纠伸%付纠¨¨Ⅳ节,.卜银谬,%静%甜弛DiagnosisManagementandTreatmentofSimpleBenignRenalCystsDepartmentofUrology,FirstAffiliatedHospitalSunYat—SenUniversityofMedicalSciencesPostgraduate:AnilCMithaniSupervisor:Prof.DaiYu—Pin3、gABSTRACTSimplerenalcystisakindofbenignrenaldisease.Itsmaintreatmentmethodsincludedaspirationandsclerotherapy,laparoscopyandopensu玛eryinthisstudy.Thiswastoassessthehighefficacyoftreatmentofsimplerenalcystwith95%ethylalcoholinjectedintothecyst.34patients,withasimplerenalcyst,weretreatedwithultr4、asound—guidedaspiration.Amaximumof100mlof95%sterileethylalcoholwasinjectedintothecystandaspiratedafter5minutesfollowedby5ml95%ethylalcoholinjectedintothecysttopreventinfectionandthatwereusedasantiseptic.Thenthepatientwasallowedtomove.Theprocedurewasperformedunderlocalanesthesia,andnopatientswe5、rehospitalized.and“1weretreatedasoutpatient,ThereWaSnocorrelationbetweenthesizeofthecystandintensityofpain.Aspirationandsclerotherapywith95%ethylalcoholwereperformedsuccessfullyinall34patientswithasimplerenalcyst.Mildtolerablepainwasnoticedduringprocedureofaspirationandsclerotherapyinfewpatien6、ts.Thispaindisappearedinminuteswithoutthepatientsreceivinganysedation,So,mostprobably,itwasduetoanxiety.Aspirationandselerotherapyusing95%ethylalcoholforsimplerenalcystissimple,fastandsafe.Itisveryeffectiveatthesametime.Itisinexpensiveifcomparedtolaparoscopyoropensurgery.Thepatientdoesnotrequi7、rehospitalizationandheorshecarlreturntonormalactivityimmediately.Sotherearenocomplicationsforthistypeofmanagementandtreatment.Weproposesclerotherapywith95%ethylalcoholastheprimarytreatmentofsimplerenalcyst.Thetreatmentcanbereceivedinout
2、/:口一)引挝圾1‘~,7h考乏,一,蛉0r.∥.川龇圻厶d前}~影孵地。彬(.哆么九ⅣfⅣ!..乎■L,钻即唰搬%‰偈n知乞.厘h纠‰"弘、●●/覃£k州角¨舾,旅M中以叶≯1纠伸%付纠¨¨Ⅳ节,.卜银谬,%静%甜弛DiagnosisManagementandTreatmentofSimpleBenignRenalCystsDepartmentofUrology,FirstAffiliatedHospitalSunYat—SenUniversityofMedicalSciencesPostgraduate:AnilCMithaniSupervisor:Prof.DaiYu—Pin
3、gABSTRACTSimplerenalcystisakindofbenignrenaldisease.Itsmaintreatmentmethodsincludedaspirationandsclerotherapy,laparoscopyandopensu玛eryinthisstudy.Thiswastoassessthehighefficacyoftreatmentofsimplerenalcystwith95%ethylalcoholinjectedintothecyst.34patients,withasimplerenalcyst,weretreatedwithultr
4、asound—guidedaspiration.Amaximumof100mlof95%sterileethylalcoholwasinjectedintothecystandaspiratedafter5minutesfollowedby5ml95%ethylalcoholinjectedintothecysttopreventinfectionandthatwereusedasantiseptic.Thenthepatientwasallowedtomove.Theprocedurewasperformedunderlocalanesthesia,andnopatientswe
5、rehospitalized.and“1weretreatedasoutpatient,ThereWaSnocorrelationbetweenthesizeofthecystandintensityofpain.Aspirationandsclerotherapywith95%ethylalcoholwereperformedsuccessfullyinall34patientswithasimplerenalcyst.Mildtolerablepainwasnoticedduringprocedureofaspirationandsclerotherapyinfewpatien
6、ts.Thispaindisappearedinminuteswithoutthepatientsreceivinganysedation,So,mostprobably,itwasduetoanxiety.Aspirationandselerotherapyusing95%ethylalcoholforsimplerenalcystissimple,fastandsafe.Itisveryeffectiveatthesametime.Itisinexpensiveifcomparedtolaparoscopyoropensurgery.Thepatientdoesnotrequi
7、rehospitalizationandheorshecarlreturntonormalactivityimmediately.Sotherearenocomplicationsforthistypeofmanagementandtreatment.Weproposesclerotherapywith95%ethylalcoholastheprimarytreatmentofsimplerenalcyst.Thetreatmentcanbereceivedinout
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