Kết quả điều trị nang thận đơn giản bằng chọc hút nang dưới hướng dẫn siêu âm kết hợp bơm keo n - butyl cyanoacrylate và dầu iodine tại Bệnh viện Bình Dân

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Tác giả: Phương Anh Bùi, Anh Toàn Đỗ, Thị Hoàng Oanh Huỳnh, Trọng Khôi Lê, Đạo Thuấn Nguyễn, Huỳnh Đăng Khoa Nguyễn, Ngọc Thái Nguyễn, Thái Hoàng Nguyễn, Văn Khoa Nguyễn, Xuân Chiến Nguyễn, Thành Thống Phan, Quang Sinh Trần

Ngôn ngữ: vie

Ký hiệu phân loại: 612.46 Urinary system

Thông tin xuất bản: Tạp chí Y học lâm sàng - Bệnh viện Trung ương Huế, 2022

Mô tả vật lý: 30-35

Bộ sưu tập: Metadata

ID: 499379

Thêm vào giỏ

Bệnh nang thận đơn giản thường không có triệu chứng và không yêu cầu phải điều trị. Với nang thận có triệu chứng, điều trị phẫu thuật thường liên quan đến những tai biến và biến chứng do vậy các phương pháp điều trị ít xâm lấn đối với nang thận đơn giản ngày càng được chọn lựa, trong đó có phương pháp chọc hút nang thận có tiêm chất gây xơ dưới hướng dẫn của siêu âm (SA). Phương pháp: Nghiên cứu hồi cứu loạt ca tại Đơn vị Can thiệp mạch Tiết niệu sinh dục, khoa Phẫu Thuật Điều Trị Sỏi Thận Chuyên Sâu bệnh viện Bình Dân. Bệnh nhân (BN) được chọc hút nang thận có tiêm chất gây xơ hóa NBCA (n - butyl cyanoacrylate) và dầu iodine dưới hướng dẫn của SA từ tháng 1/2019 đến 4/2022 và được theo dõi kết quả lâm sàng, kích thước nang sau hút, biến chứng sau thủ thuật. Kết quả: 42 BN có nang thận Bosniak I được đưa vào nghiên cứu với 24 nam và 18 nữ. Thời gian theo dõi trung bình là 18.7 ± 6.5 tháng. Không có trường hợp nào xảy ra biến chứng sau chọc hút. Tất cả BN đều xuất viện trong ngày, 40/42 BN không tái phát nang thận đã chọc. Có hai trường hợp tái phát, 1 TH được chọc hút lần 2, 1 TH được phẫu thuật nội soi cắt chỏm nang. Kết luận: Phương pháp chọc hút nang thận đơn giản có tiêm chất gây xơ hóa NBCA dưới hướng dẫn SA có hiệu quả cao, an toàn và ít tái phát trong việc kiểm soát triệu chứng đau hông lưng và giảm thể tích nang thận.Simple renal cysts are usually asymptomatic and do not require treatment. With symptomatic renal cysts, surgical treatment is often associated with complications. Subsequently, less invasive methods of treatment for simple renal cysts are increasingly chosen, including cyst aspiration. with sclerosing agents under ultrasound guidance. Methods: The retrospective case - series study was carried out at the Urogenital Vascular Intervention Unit, Department of Advanced Kidney Stone Surgery, Binh Dan Hospital. Patients had renal cyst aspiration with NBCA sclerosing agent combined with iodine oil under the guidance of ultrasound from January 2019 to April 2022 and were monitored for clinical results, residual cysts size, and complications after the procedure. Results: 42 Bosniak I renal cyst patients were included in the study with 24 men and 18 women. The mean follow - up time was 18.7 ± 6.5 months. There were no cases of complications after aspiration. All patients were discharged on the same day, 40/42 patients without recurrence of renal cysts. There were two cases of recurrence, 1 cas was aspirated for the second time, 1 cas was laparoscopic renal cysts deroofing. Conclusions: The method of renal cyst aspiration with NBCA sclerotherapy under ultrasound guidance is highly effective, safe, and has low recurrence rates in symptom control of low back pain and reduction of renal cyst volume.

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