论文部分内容阅读
目的:评价单纯性肾囊肿行腹腔镜肾囊肿去顶术和经皮肾穿刺硬化术及开放肾囊肿去顶术的治疗效果。方法:回顾性分析85例单纯性肾囊肿患者的临床资料,男53例,女32例。年龄22~72岁,平均43岁。囊肿直径4.8~13.2cm,平均6.8cm。85例患者中,30例行腹腔镜去顶术治疗,30例开放性手术治疗,25例行经皮肾穿刺硬化术,对比分析三组患者手术时间、术中出血量、术后住院时间、术后放置引流管时间及复发率的差异,总结三种治疗方法的特点。结果:85例患者均顺利完成手术,术中术后无明显并发症。腹腔镜组和开放组囊肿去顶术后,囊肿复发率分别3.3%和0,明显小于经皮肾穿刺硬化术组的24%(P<0.05);腹腔镜组和穿刺硬化术组术中出血量及术后引流时间均少于开放手术组(P<0.05)。手术时间三组病例差异无统计学意义。结论:三种方法均有良好的效果,各有优缺点,其中腹腔镜肾囊肿去顶术具有手术时间短、出血量少以及复发率低等综合优势,值得推广,最终术式选择应根据囊肿特征及术者对患者的综合评估等多方面因素来考虑。
OBJECTIVE: To evaluate the therapeutic effect of laparoscopic debridement, percutaneous nephrosclerosis and open renal cyst debridement in patients with simple renal cysts. Methods: The clinical data of 85 patients with simple renal cysts were retrospectively analyzed. There were 53 males and 32 females. Aged 22 to 72 years old, average 43 years old. Cyst diameter 4.8 ~ 13.2cm, an average of 6.8cm. Among the 85 patients, 30 patients underwent laparoscopic surgery, 30 underwent open surgery and 25 underwent percutaneous renal sclerosis. The operative time, intraoperative blood loss, postoperative hospital stay, Postoperative drainage tube placement time and recurrence rate differences, summarizes the characteristics of the three treatment methods. Results: All the 85 patients completed the operation smoothly without any obvious postoperative complications. Laparoscopic group and open group cyst debridement surgery, the cyst recurrence rate was 3.3% and 0, significantly less than the percutaneous nephrostomy group 24% (P <0.05); laparoscopic group and puncture sclerosis group intraoperative bleeding Volume and postoperative drainage time were less than the open surgery group (P <0.05). There was no significant difference between the three groups in operation time. Conclusion: The three methods have good results, each with its own advantages and disadvantages, including laparoscopic renal cyst debridement with short operative time, less bleeding and low recurrence rate comprehensive advantages, it is worth promoting, the final surgical selection should be based on cysts Characteristics and the surgeon’s comprehensive assessment of patients and many other factors to consider.