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目的探讨超声引导下非肾盂旁肾囊肿穿刺抽液硬化治疗的疗效及方法。方法 59例非肾盂旁肾囊肿患者,其中男性43例,女性16例;年龄19～80岁,平均年龄50.58岁。共66个囊肿,其中40岁以上患者46例,占78%。在超声实时引导监视下,对59例非肾盂旁肾囊肿穿刺抽液,囊液定性后注入无水乙醇冲洗,并保留5～20 mL无水乙醇,边退针边注射麻醉剂,术后嘱患者经常变换体位。结果 59例非肾盂旁肾囊肿一次穿刺成功率98.4%,总有效率100.0%,1年后治愈率79.3%,无一例次有严重并发症发生。结论用无水乙醇冲洗硬化治疗非肾盂旁肾囊肿并置留少量无水乙醇,操作简便、安全,创伤小,费用低,疗效确切,是一种理想治疗方法,值得大力推广。
Objective To investigate the efficacy and methods of ultrasound-guided non-renal cyst puncture aspiration abscess. Methods 59 cases of patients with non-renal pelvis and renal cysts, including 43 males and 16 females; aged 19 to 80 years, with an average age of 50.58 years. A total of 66 cysts, of which 46 patients over the age of 40, accounting for 78%. Under the guidance of real-time ultrasound guidance, 59 cases of non-renal cyst puncture fluid, qualitative cystic fluid injection of ethanol washing, and retain 5 to 20 mL of ethanol, side injection back anesthesia anesthesia, Zhu Huanzhe patients Change body position often. Results The success rate of the puncture of 59 cases without renal plexus was 98.4%. The total effective rate was 100.0%. The cure rate after one year was 79.3%. No serious complication occurred in one case. Conclusions The treatment of non-renal pelvic peritoneal renal cyst with anhydrous ethanol and a small amount of anhydrous ethanol is easy to operate, safe, less traumatic, less expensive and more effective. It is an ideal treatment method and worthy of promotion.