【摘要】 目的：观察ＣＴ引导下不同方法及不同大小肾囊肿硬化治疗的效果。材料与方法：对１９８例肾囊肿ＣＴ引导下行无水乙醇（９９７％）硬化治疗，其中方法Ⅰ４７例并随访４２例为抽出囊液后直接注入２５％囊液量的无水乙醇。方法Ⅱ１５１例随访７９例为抽出囊液后根据囊肿大小每次用５～３０ｍｌ不等量的无水乙醇反复多次冲洗，后留置５～３０ｍｌ不等量的无水乙醇于囊腔内。其次将囊肿分为＜５ｃｍ组１０８例（５４５％），随访６７例；５～８ｃｍ组７４例（３７３％），随访４３例；＞８ｃｍ组１６例（８．２％），随访１１例。结果：囊肿硬化治疗方法Ⅰ与方法Ⅱ疗效有差异性（Ｐ＜００５），囊肿＜５ｃｍ组与５～８ｃｍ组及＞８ｃｍ组，疗效亦有差异性（Ｐ＜０．０５）。结论：方法Ⅱ疗效优于方法Ⅰ，囊肿越小，疗效越好更多还原

【Abstract】 Objective: To evaluate the effect of percutaneous puncture sclerosing treatment on renal cysts of different size with two techniques. Materials and Methods: Two hundred and thirteen renal cysts were found in 198 patients. Group Ⅰ, 47 cases, following aspiration ethanol of one fourth of aspirated fluid volume was injected. Group Ⅱ, 151 cases, following aspiration irrigated the cyst several times with, according to the cyst size, 5～30ml ethanol, then left 5～30ml ethanol in the cyst. Besides, the patients were also divided into three groups according to the cyst size: Group A, 108 cases, the cyst size <5cm; Group B, 74 cases, the cyst size 5～8cm; Group C, 16 cases, the cyst size >8cm. Results: Striking difference of therapeutic results was existed between group Ⅰ and group Ⅱ (P<0.05), and also between Group A, B and C (P<0.05). Conclusion: The technique using in group Ⅱ is more effective than that using in group Ⅰ. The smaller the cyst is, the better the result will be.更多还原