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目的探究输尿管软镜下钬激光内切开引流术治疗肾囊性疾病疗效。方法选择禹州市人民医院58例肾囊性疾病患者,依据术式不同分组,观察组28例实施输尿管软镜下钬激光内切开引流术治疗,对照组30例采取后腹腔镜下肾囊肿去顶术治疗,统计两组手术情况、术后恢复情况、并发症发生率等并术后进行1年随访观察两组临床症状缓解情况、囊肿消失率及复发情况。结果两组手术均顺利完成,观察组手术用时为(28.53±6.48)min较对照组缩短,术中出血量分别(9.24±4.18)ml较对照组减少,术后胃肠道功能恢复时间、下地活动时间、住院时间分别为(11.05±1.76)h、(7.32±1.98)h、(2.49±0.64)d,均低于对照组,差异有统计学意义(P<0.05);观察组术后并发症发生率7.14%(2/28)与对照组20.00%(6/30)相比,差异无统计学意义(P>0.05);经随访,两组术后血尿、腰痛等临床症状均消失,且两组囊肿消失率、复发率相比,差异无统计学意义(P>0.05)。结论对肾囊性疾病患者应用输尿管软镜下钬激光内切开引流术治疗疗效肯定,且可减轻手术创伤,促进患者术后康复。
Objective To investigate the curative effect of ureteroscopic ureteroscopic holmium laser in the treatment of renal cystic disease. Methods Fifty-eight patients with renal cystic disease in Yuzhou People’s Hospital were selected and divided into two groups according to different surgical procedures. 28 cases underwent ureteroscopic endoscopic holmium laser in the observation group and 30 cases in the control group underwent retroperitoneal laparoscopic renal cyst The surgical treatment, postoperative recovery, complication rate and other two groups were statistically analyzed. The clinical symptoms, the rate of disappearance of the cyst and the recurrence rate of the two groups were observed after one year follow-up. Results The operation of both groups was successfully completed. The operative time in the observation group was shorter than that in the control group (28.53 ± 6.48) min, and the intraoperative blood loss was (9.24 ± 4.18) ml lower than that in the control group. The postoperative gastrointestinal function recovery time, (11.05 ± 1.76) h, (7.32 ± 1.98) h and (2.49 ± 0.64) d, respectively, which were lower than those in the control group (P <0.05). The postoperative complications The incidence of disease was 7.14% (2/28) compared with that of control group (20.00%) (6/30), but there was no significant difference between the two groups (P> 0.05) There was no significant difference between the two groups in the rate of disappearance and recurrence (P> 0.05). Conclusion The treatment of patients with renal cystic disease under ureteroscopic holmium laser endobronchial drainage is effective and can reduce surgical trauma and promote postoperative recovery.