Comparison of CT-Guided Sclerotherapy with Using 95% Ethanol and 20% Hypertonic Saline for Managing Simple Renal Cyst
Korean Journal of Radiology
;
: 512-519, 2007.
Article
in English
| WPRIM
| ID: wpr-203912
ABSTRACT
OBJECTIVE:
We wanted to compare the efficacies of 95% ethanol and 20% hypertonic saline (HS) sclerotherapies that were performed in a single session under CT guidance for the management of simple renal cysts. MATERIALS ANDMETHODS:
A prospective series of 74 consecutive patients (average age 57.6 +/- 8.1 years) with simple renal cysts were enrolled in this study. They were randomized into two groups and 95% ethanol or 20% HS, respectively, corresponding to 25% of the aspiration volume, was injected. Treatment success was determined six months later with follow-up clinical evaluation and performing ultrasonography.RESULTS:
The sclerotherapy was accepted as technically successful without major complications in all except two patients who were excluded because of a communication between the simple renal cyst and the pelvicalyceal collecting system. Thirty-six patients in the ethanol group received sclerotherapy with 95% ethanol and 36 patients in the HS group underwent sclerotherapy with 20% HS. The complete regression ratio of the ethanol group was significantly higher (94% versus 72%, respectively) than that of the HS group. There was one patient with partial regression in each group. The failure ratio of the ethanol group was significantly lower (3% versus 25%, respectively) than that of the HS group.CONCLUSION:
Ethanol sclerotherapy under CT guidance is a successful and safe procedure and it can be used for the treatment of simple renal cysts. Sclerotherapy with 95% ethanol is more effective than 20% HS sclerotherapy. Sclerotherapy with HS may be an option for patients preferring to undergo a less painful treatment procedure.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Saline Solution, Hypertonic
/
Sclerosing Solutions
/
Tomography, X-Ray Computed
/
Sclerotherapy
/
Prospective Studies
/
Follow-Up Studies
/
Treatment Outcome
/
Ethanol
/
Kidney Diseases, Cystic
/
Kidney
Type of study:
Controlled clinical trial
/
Practice guideline
/
Observational study
/
Prognostic study
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Male
Language:
English
Journal:
Korean Journal of Radiology
Year:
2007
Type:
Article
Similar
MEDLINE
...
LILACS
LIS