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目的:探讨肾盂旁囊肿的诊断及治疗方法。方法:回顾分析比较16例肾盂旁囊肿的B超、CT(平扫+增强)等检查方法与腔镜在肾盂旁囊肿手术中的应用。结果:16例患者中通过CT(平扫+增强)检查均明确诊断,14例腔镜手术成功,2例因出血而改开放手术。腹腔镜手术时间为30～70 min,平均50 min;出血20～80 ml,平均40 ml,2例因损伤副肾血管而改开放,腔镜手术者住院时间为5～8 d,平均7 d,10例获随访6～12个月,无复发。结论:后腹腔镜手术是治疗肾盂旁囊肿首选治疗方法。CT是诊断肾盂旁囊肿最有效的方法,尤其增强CT肾盂相三维成像图,是防止损伤肾盂及肾血管的最有效检查方法。后腹腔镜手术是治疗肾盂旁囊肿疗效好、创伤小、出血少、恢复快的方法,可以成为治疗肾盂旁囊肿手术金标准。
Objective: To investigate the diagnosis and treatment of renal pelvis cyst. Methods: A retrospective analysis of 16 cases of renal pelvis cyst by B ultrasound, CT (scan + enhancement) and other examination methods and endoscopy in the operation of renal pelvis cyst. Results: 16 cases of patients by CT (plain scan + enhanced) were diagnosed with definite diagnosis, 14 cases of endoscopic surgery was successful, 2 cases were changed to open surgery due to bleeding. The laparoscopic operation time was 30-70 minutes with an average of 50 minutes. The hemorrhage was 20-80 ml with an average of 40 ml. Two cases were changed to open due to the injury of the secondary renal vessels. The length of hospitalization for laparoscopic surgery was 5-8 days , 10 cases were followed up for 6 to 12 months without recurrence. Conclusion: Retroperitoneal laparoscopic surgery is the first choice for the treatment of renal pelvis cyst. CT is the most effective method for the diagnosis of renal pelvis cyst, in particular, to enhance CT pyelography of the three-dimensional imaging is to prevent damage to the renal pelvis and renal blood vessels the most effective inspection. Retroperitoneal laparoscopic surgery for the treatment of renal pelvis cyst good curative effect, less trauma, less bleeding, rapid recovery method, can become the gold standard for the treatment of renal pelvis cyst surgery.