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目的探讨特发性肾包膜下积液患者行肾包膜下微通道穿刺引流联合输尿管镜内置双J管的疗效。方法回顾性分析16例特发性肾包膜下积液患者的临床资料,女12例,男4例,平均年龄(40.00±4.00)岁,单侧10例,双侧6例,均经B超、静脉尿路造影术、CT及穿刺液检查明确诊断,并采用局麻B超定位下肾包膜下微通道穿刺置管引流联合输尿管镜内置双J管。结果特发性肾包膜下积液成分与单纯性肾囊肿成分相似。所有患者均手术顺利,无并发症发生,平均随访(36.80±14.20)个月,无1例肾包膜下积液复发。结论特发性肾包膜下积液为临床罕见疾病,目前病因和病理机制尚不明确,治疗上主要以对症处理为主,局麻B超定位下肾包膜下微通道穿刺置管引流联合输尿管镜内置双J管术疗效确切,值得临床推广。
Objective To investigate the curative effect of idiopathic renal subcapsular fluid in patients undergoing renal subcapsular microchannel puncture and drainage combined with ureteroscopy built double J tube. Methods The clinical data of 16 patients with idiopathic subrenal fluid were retrospectively analyzed. There were 12 males and 4 females, mean age (40.00 ± 4.00) years old, 10 cases on one side and 6 cases on both sides. Ultra, intravenous urography, CT and puncture fluid examination to confirm the diagnosis, and the use of local anesthesia B-positioning under the renal capsule microcirculation catheter drainage combined with ureteroscopy built double J tube. Results of idiopathic renal subcapsular fluid composition and simple renal cysts similar. All patients were operated successfully without complications, with an average follow-up of (36.80 ± 14.20) months, and no recurrence of renal subcapsular effusion. Conclusions Idiopathic subcapsular effusion is a rare clinical disease. At present, the etiology and pathology are still not clear. The treatment mainly focuses on symptomatic treatment. Under local anesthesia with B-mode ultrasound, subrenal microcatheter puncture and catheter drainage combined Ureteroscopy double J tube surgery is effective, it is worth clinical promotion.