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目的:探讨肾盏憩室行去顶术后漏尿的手术处理时机及手术方法。方法:回顾性分析我院从2011年5月~2014年8月诊治的5例肾盏憩室误诊为肾囊肿行肾囊肿去顶减压术的患者临床资料,总结再次手术处理的时机及手术方法。结果:5例患者均在发现漏尿后3天内急诊手术干预,行开放手术肾盏颈扩大成形加肾创面关闭。术后3~5d拔除肾周引流管,1个月拔除双J管。随访6~40个月,患者均痊愈,无腰痛,无发热,肾盏憩室明显缩小。结论:肾盏憩室误诊为肾囊肿术后漏尿应当快速进行外科手术干预,可明显减轻患者痛苦及医患纠纷的发生;肾盏颈扩大成形加肾创面关闭手术疗效确切,预后满意。
Objective: To investigate the timing and surgical methods of surgical treatment of leakage of calyceal diverticula after debridement. Methods: The clinical data of 5 cases of calyceal diverticulum misdiagnosed as renal cysts undergoing renal cyst decompression in our hospital from May 2011 to August 2014 were retrospectively analyzed. The timing of the reoperation and the operation method were summarized . Results: All the 5 patients underwent emergency surgical intervention within 3 days after the leakage of urine was found. The opening of the calyceal neck enlarged and the kidney wound closed. 3 ~ 5d after removal of the perirenal drainage tube, remove the double J 1 month. All patients were followed up for 6 ~ 40 months. No back pain, no fever, and calyceal diverticula were significantly reduced. CONCLUSIONS: The misdiagnosis of calyceal diverticula as urethral cyst after surgery should be promptly treated with surgical intervention, which can significantly reduce the pain of patients and the occurrence of disputes between doctors and patients. The enlargement of renal calyces and the closure of renal wounds are effective and the prognosis is satisfactory.