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我院自1992年1月以来采用超声导向肾囊肿穿刺抽液,同时注射95%酒精硬化治疗肾囊肿16例,并随访2~24个月,取得满意疗效,现分析如下。 临床资料和方法 本组16例共22个囊肿,右肾上极5个,中部4个,下极6个。左肾上极3个,中部2个,下极2个。其中,男性12例,女性4例。年龄32~65岁。 采用日本Aloka-630和美国的A T FINO实时超声显像仪,使用普通探头附设穿刺针,探头频率3.5MHz,穿刺针用20G带针管的套管针,穿刺前用新洁尔灭浸泡消毒。 常规穿刺准备后,患者取俯卧位或侧卧位,确定囊肿位置及选择好穿刺点后,在B超显像仪的监视下,将穿刺针沿着确定的路径穿刺进针,待针尖进入囊肿腔内可显示针尖亮点,确定针尖已达囊腔中心时,拨出针管,用注射器抽出部分囊肿液留检后,继续抽吸,抽尽囊液计量,再注入95%酒精,其注入量为抽出量的1/4~1/5。如果估计没法将囊液抽尽,则可抽出注入的
Our hospital since January 1992 with ultrasound-guided renal cyst puncture fluid injection while 95% alcohol sclerosis treatment of renal cysts in 16 cases, and followed up for 2 to 24 months, and achieved satisfactory results are as follows. Clinical data and methods The group of 16 cases a total of 22 cysts, the right upper pole 5, 4 in the middle, the lower pole 6. 3 on the left kidney, 2 in the middle and 2 on the bottom. Among them, there are 12 males and 4 females. Age 32 ~ 65 years old. Japan Aloka-630 and the United States A FIN FINO real-time ultrasound imaging device, the use of ordinary probe attached to the needle, the probe frequency of 3.5MHz, needle puncture with 20G needle cannula needle, puncture with benzalkonium bromide before disinfection. Conventional puncture preparation, the patient take the prone position or lateral position to determine the location of the cyst and choose a good puncture point, under the supervision of the B super-imaging device, the puncture needle along the path of the needle puncture, until the needle tip into the cyst Cavity can be displayed bright spots, to determine the tip has reached the center of the cystic cavity, the dial out of the needle, with a syringe out of part of the cyst fluid after the test, continue to suck, pumping out the cyst fluid measurement, and then injected 95% alcohol, the injection volume Out of the amount of 1/4 to 1/5. If it is estimated that the fluid can not be exhausted, you can withdraw the injection