신낭종의 임상소견 및 신낭종액의 성분에 대한 고찰
Clinical Evaluation of the Renal Cystic Disease and Analysis of the Cystic Fluid
이상수, 장영명, 양익, 손신영,
소속 상세정보
이상수 ( )
경희대학교
장영명 ( )
경희대학교
양익 ( )
경희대학교
손신영 ( )
경희대학교
KMID : 0358319960370030308
Abstract
Renal cyst is a common renal disease. It rarely produces symptoms, and thus rarely require treatment. But the treatment is necessary when the cyst is symptomatic or without intracystic injection of sclerosing agents.
Thus we evaluated the efficacies of treaments in renal cystic disease. Cystic diseases were treated with percutaneous aspiration in 18 cases, percutaneous aspiration with sclerosing therapy in 26 cases. Overall efficacies were 22.2% with
aspiration
only
and 95% with combined sclerosing therapy without no specific complications.
Sclerosing therapy is relatively safe, less hazardous to the patient and shows high success rate in the treatment of cyst. We dconcluded that combined percutaneous cystic aspiration and sclerosing therapy was the best treatment of renal cystic
disease.
We assessed cystic fluid of 34 cases of simple renal cyst and 3 cases of polycystic kidney. The cystic fluid were analyzed for color, lipid profile, glucose, lactic acid dehydrogenase, amylase, electrolytes, culture and cell cytology. All
aspirates
of
simple cyst were similar to composition of transudate. But aspirates of polycystic kidney were different from simple cyst.
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