How to treat renal cyst?

Treatment of renal cyst. Generally, the diameter of renal cyst is less than 4cm, and there is no obvious compression of renal pelvis and calyx, infection, malignant transformation, hypertension, or no obvious symptoms, so it is only necessary to follow up closely and review it regularly by B-ultrasound. Second, western medicine treatment (a) puncture drainage+sclerosing agent treatment 1. Indications This method is suitable for symptomatic patients with cyst diameter greater than 4cm, and malignant infection is excluded after examination. 2. Commonly used hardener, tetracycline, phosphate lock, 95% alcohol, 50% glucose. 3. Contraindications: patients with local skin infection and severe bleeding tendency. 4. Complications such as bleeding, infection, hemopneumothorax, renal laceration, arteriovenous fistula, traumatic urinary cyst and sclerosing agent extravasation stimulate and damage the tissues around the kidney. (2) Puncture drainage plus antibiotics is 1. Indications: Renal cyst with a diameter of 4 cm with intracapsular infection. After puncture and drainage under the guidance of B-ultrasound, sensitive antibiotics were injected according to the possible infected strains. 2. Contraindications and complications are the same as puncture plus sclerosing agent. (3) Surgical treatment 1. Indications (methods include open surgery and laparoscopy) (1) Cyst complicated with infection, puncture and drainage plus antibiotic treatment is ineffective. (2) The cyst became malignant. (3) Puncture plus sclerosing agent to treat insomnia. (4) Giant renal cyst. 2. Contraindications: Severe heart, lung, liver and renal insufficiency can not tolerate surgery, and the malignant cyst has distant metastasis. 3.( 1) cyst unroofing is suitable for most patients with renal cysts; (2) Nephrectomy is suitable for cystic malignant transformation or cystic renal carcinoma. 4. Postoperative complications are often infection, bleeding and urinary fistula. Anti-complications after laparoscopic surgery include gas examination, subcutaneous and mediastinal emphysema, intestinal bleeding, infection and so on. (4) Non-surgical treatment is mainly suitable for cyst complicated with infection and bleeding. Western medicines for treating cyst infection include penicillins, cephalosporins and quinolones. Use nephrotoxic antibiotics with caution. Hemostatic drug: reptilase 1ku, intramuscular injection once a day, which is safe for elderly patients and will not cause thrombosis.