The current medical standards no successful methods treat renal cysts. For small renal cysts, if no symptoms do not need any treatment, but should be checked regularly to see if the cyst is growing. Asymptomatic patients should always carry urine tests, including urinalysis, urine culture, once every six months to a year to monitor renal function, including the rate of creatinine clearance. Since infection is a major cause of worsening disease, so if it is not essential, do not be an invasive examination of the urinary tract. Renal cyst puncture little effect, not only susceptible to infection, easy to relapse, and after long-term observation, surgery may not delay the occurrence of renal damage. Surgical removal of the cyst is not an easy task, because the surface of renal cysts can be cut, but cutting buried in the deepest part of the renal cyst is quite difficult. Large malignant tumor as possible, surgical exploration may be, if proved benign cysts, wall surface of the kidney can be removed, and the edge of renal parenchyma with continuous catgut suture, residual wall painted with iodine. The destruction of normal function contralateral renal parenchymal side, feasible nephrectomy.
1. Special Treatment
(1) When the excretory urography, renal tomography X-ray tomography, ultrasonography and CT failed to make the most of a diagnosis, you can choose for angiography, and then percutaneous aspiration of a cyst like this tool diagnosis can also be performed under the supervision ultrasound image on the monitor of X-ray screen must also measure the fat content, the fat content is increased according to the diagnosis of tumors. Adequate drainage of cyst fluid then replacing it and a contrast agent. Then radiography in different position, to show the smooth wall, with or without the presence of vegetation. Withdrawn before the injected contrast agent in 3 ml cysts aliphatic ester iodide, which further reduces the accumulation of liquid caused by the change.
(2) If a clear diagnosis, consider retention cysts, after all, a rare case of cystic kidney damage.
(3) When the diagnosis is still in doubt, consider surgical exploration.
2. The simple renal cysts treatment
The most common simple renal cysts in polycystic kidney disease. Mostly unilateral unique, rare, unilateral multiple bilateral occurrence is rare. Simple renal cysts etiology is unclear. The disease is more common in adults. The simple renal cysts usually more effective, unless the cyst is large, usually does not affect renal function, which tends to be a nonsurgical treatment. However, if there cancerous cysts or simultaneous kidney cancer, surgery should be early. For the simple renal cysts, not blindly treatment, the best treatment is the treatment of Chinese medicine. Small cysts and cysts larger (cysts <5 cm) can simply use traditional Chinese medicine decoction, usually two to three courses can be cured.
Spontaneous infection rarely simple renal cysts, but in case it is difficult to discriminate with renal Anthrax. Sometimes the cyst may be bleeding, sudden, can cause pain, bleeding from the cyst wall may be associated with cancer. Lower pole renal cyst located close to the urethra, which can aggravate hydronephrosis, renal pelvis and urine for oppression can cause back pain. This blockage can also cause kidney infection.
When the cyst complicated by infection, should be strengthened antibiotic treatment.
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