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目的:总结肾盂旁囊肿的诊断与治疗措施。方法:回顾分析肾盂旁囊肿患者16例的诊断和治疗方法。结果:影像学检查确诊率B超为44%(6/14),CT100%(9/9),静脉肾益造影(IVP)66%(11/15)。7例行开放性囊肿去盖并脂肪填塞术,1例行肾部分切除术,2例行腹腔镜囊肿去盖术,6例行保守治疗。行手术治疗者效果满意,无自觉症状行保守治疗者,未见病情进一步加重。结论:IVP结合B超检查,可作为诊断本病的常规方法。CT对诊断本病准确率高。囊肿去盖并脂肪填塞术治疗效果挂,值得推荐。对无自觉症状、囊肿小、无肾积水者,可定期随访。
Objective: To summarize the diagnosis and treatment of plexus cyst. Methods: A retrospective analysis of 16 cases of patients with renal pelvis cyst diagnosis and treatment. Results: The diagnostic accuracy rate of imaging examination was 44% (6/14), CT100% (9/9) and IVP 66% (11/15). Seven cases of open cyst debridement and fat packing, one case of partial nephrectomy, 2 cases of laparoscopic cyst debridement, 6 cases of conservative treatment. Surgical treatment was satisfactory, no conservative treatment of symptoms, no further aggravate the condition. Conclusion: IVP combined with B-ultrasound can be used as a routine method to diagnose this disease. CT diagnosis of the disease with high accuracy. Cyst to cover and fat padding effect of treatment linked to, it is recommended. No symptoms, small cysts, no hydronephrosis, regular follow-up.