超声引导肾脂肪囊注射甲泼尼龙治疗肾病综合征31例分析

目的 评价经超声引导肾脂肪囊注射甲泼尼龙治疗肾病综合征的价值.方法 对31例肾病综合征患者由超声引导进行经皮肾脂肪囊注入甲泼尼龙治疗,每周2次,一次注射甲泼尼龙40 mg,共10次,治疗后观察患者尿蛋白、血清总蛋白、肌酐的变化.结果 31例中29例（占94%）临床观察尿蛋白定性阴性,2例停止介入治疗后又有反复（占6%）.结论 经超声引导经皮.肾脂肪囊介入治疗肾病综合征,操作简便,定位准确,疗效显著,为临床提供了一个新的治疗方法.

Analysis of renal adipose capsule injection of methylprednisolone by ultrasound guided in treatment of 31 patients with nephritic syndrome

Objective To evaluate the value of renal adipose capsule injection of methyprednisolone by ultrasound guided in treatment of nephritic syndrome.Methods 31 patients with nephritic syndrome were treated with the renal adipose capsule injection of methyprednisolone by ultrasound guided.40mg methylprednisolone was injected into renal adipose capsule of the patients twice a week and each one of them was totally given ten times of the treatment.The urinary protein,plasma albumin,serum creatinine and blood pressure before and after the treatment were measured.Results 29 cases were succeed in this group,and the percentage was 94%,clinical observations of proteinuria were negative.2 cases were repeated after stop interventional treatment.and the percentage was 6%.Conclusion By ultrasound guided interventional treatment and capsula adipose treated for nephrotie syndrome was simple operation,and had precise positioning and significant effect,and it provided a new treatment for clinic.