Do not be afraid of renal cyst, proper treatment of renal function can be restored.
The current medical standards do not address methods renal cysts effects. For small renal cysts, when 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 onset of kidney damage. Surgical removal of the cyst is not an easy task, because a queue SURFACE renal cysts Can Be Cut, Cut para But Buried deep in the instance of the renal cyst is pretty 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 and renal tomography X-ray tomography, ultrasound and CT images failed to make the most of a diagnosis, you can choose for angiography, percutaneous aspiration of the cyst and then as the next tool diagnosis can also be performed under X-ray monitor screen image ultrasound monitoring. Find the clearest signs of cyst fluid is encouraging, but must do pumped liquid cytology. It must also measure the fat content, the fat content is? ?incrementa according tumor diagnosis. 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. Withdrawal before contrast medium injected into the cysts of 3 ml aliphatic ester iodide, which will further reduce fluid buildup caused by the change. Bean1981 was introduced injected 95% alcohol airbag, thus, was found only one recurrence in 29 patients. If only a simple cyst evacuated most about fall. If the pumped fluid is bloody, considering surgical exploration, so when a serious disease, and even cancer occurs.
(2) If the diagnosis can be considered reserved cyst, the cyst after rare kidney damage situations.
(3) When the diagnosis is still in doubt, consider surgical exploration. Ambrose, etc. In 1971, when most have been diagnosed with cysts, still prefer surgical exploration. In 55 cases have surgery. Five cases have been confirmed cancer, representing 9%. Usually, only the outside of the renal cyst resection. If severe kidney damage, renal elimination also indications, but rarely
2. Treatment of simple renal cysts
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 concurrent cancer or renal cysts, if early surgery. ? Still not blindly for the treatment of simple renal cysts, the best treatment is treatment with medicine. Small cysts and cysts larger (cysts <5 cm) can simply use traditional Chinese medicine decoction, usually two fifty-eight 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 and 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, antibiotic treatment should be strengthened, although Muther and Bennett1980 discovered antibiotic cyst fluid can be achieved at very low concentrations. And often have to go through this puncture and drainage. After this puncture and drainage fails, surgical resection of the wall section of the renal cyst and drainage has also proven to be very good effect. Hydronephrosis, removing the cyst wall of the obstruction caused by the obstruction of the ureter can be raised. The involvement of kidney suggestive of pyelonephritis, urinary tract obstruction, ureteral drainage is not smooth. After excision of the cyst, urinary tract naturally eased the pressure for more effective antibiotic treatment.
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