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目的根据肾囊肿的部位个体化选择治疗方案,以提高单纯性肾囊肿的外科治疗效果。方法回顾性分析398例单纯性肾囊肿患者的临床资料,分析患者全身情况、囊肿位置及囊肿大小等特点与成功治疗肾囊肿的相关性。结果接受经皮穿刺引流并反复注射无水乙醇或联合生物蛋白胶的患者225例,接受经腹腔镜肾囊肿去顶减压术联合生物蛋白胶治疗的患者158例,接受输尿管镜下内切开引流术者15例。其中有效率99.5%,治愈率94.0%,无其他脏器损伤、感染性休克、化学性肾盂肾炎等严重并发症。结论单纯性肾囊肿患者应根据肾囊肿部位、个体化选择治疗方法。
Objective According to the site of individual selection of renal cysts treatment options to improve the surgical treatment of simple renal cysts. Methods A retrospective analysis of 398 cases of simple renal cysts in patients with clinical data, analysis of the patient’s general condition, cyst location and cyst size and other characteristics of the successful treatment of renal cysts. Results Percutaneous puncture drainage and repeated injection of anhydrous ethanol or biopolymer glue in 225 patients undergoing laparoscopic renal cyst decompression combined with biological protein glue in 158 patients underwent endoscopic ureterotomy Drainage in 15 cases. Including efficiency of 99.5%, the cure rate of 94.0%, no other organ damage, septic shock, chemical pyelonephritis and other serious complications. Conclusion Patients with simple renal cysts should be treated according to the location and individualized treatment of renal cysts.