CT引导下介入治疗肝肾囊肿85例分析
CT guided interventional therapy in renal and heptic cysts
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摘要: 目的:探讨CT引导下介入治疗肝、肾囊肿的方法及疗效。方法:30例33个肝囊肿,45例48个肾囊肿,均在CT引导下穿刺囊肿抽液后用无水乙醇治疗,无水乙醇量为抽液量的25%左右,使用18~21 G穿刺针。术后3~12个月行B超或CT随访。结果:30例33个肝囊肿,囊肿消失21个,缩小9个,无变化3个,有效率90.9%;45例48个肾囊肿,囊肿消失30个,缩小12个,无变化6个,有效率87.5%。无严重并发症。结论:CT引导下经皮穿刺治疗肝、肾囊肿是一种安全有效的方法。Abstract: Objective: To investigate treatment and therapeutic effect of CT guided percutaneous puncture and interventional therapy in renal and heptic cysts.Methods: Thirty-three heptic cysts in 30 patients and 48 renal cysts in 45 patients were treated with CT guided percutaneous puncture and interventional therapy.The amount of anhydrous alcohool was 25% of apirated amount of cysts.Gauge 18-21 aspiration needles were used for all patients.All patients were followed-up by CT or ulthasonograpy for three mouths to one year.Results: Twenty-one heptic cysts disappeared;9 heptic cysts were reduced in size and there was no change in 3 cysts.The effective rate was 90.9% and the rate of complete regression was 63.6%.Thirty renal cysts disapeared;12 renal cysts were reduced,and there was no change in 6 cysts.The effective rate was 87.5% and the rate of the complete regression was 62.5%.There were no severe complications.Conclusions: CT guided percutaneous cysts puncture and interventional therapy is a useful and safe procedure for the treatment of renal cysts and heptic cysts.