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目的观察用镜体直接分离建立后腹腔的方法(IUPU)与自制气囊两种建腔方式用于单孔单通道后腹腔镜肾囊肿手术对肾功能和尿常规的影响。方法将208例肾囊肿患者随机分为试验组和对照组各104例。试验组经自制气囊法腹腔镜下肾囊肿手术切除术,对照组以IUPU法建立后腹腔经腹腔镜肾囊肿手术切除。术后比较2组患者肾功能和尿常规。结果治疗前2组患者肾功能各项指标水平检测相近,差异均无统计学意义(P>0.05)。治疗后2组患者血清肌酐(Scr)、血尿素氮(BUN)水平及收缩压(SBP)和舒张压(DBP)均降低,而肾小球滤过率(GFR)水平升高,且试验组降低或升高幅度大于对照组,差异均有统计学意义(P<0.05)。试验组患者蛋白尿、尿白细胞(WBC)和尿红细胞(RBC)检出率均低于对照组,差异均有统计学意义(P<0.05)。结论自制气囊建腔在单孔单通道后腹腔镜肾囊肿手术中对肾功能和尿常规的影响优于IUPU建腔模式。
Objective To observe the effect of establishing the retroperitoneal cavity (IUPU) with self-made balloon on the renal function and urinary routine by single-hole single-pass laparoscopic renal cyst surgery. Methods 208 cases of renal cysts were randomly divided into experimental group and control group of 104 cases. The experimental group was treated by homemade balloon laparoscopic surgery of renal cyst, and the control group was established by laparoscopic resection of renal cyst by IUPU. After surgery, renal function and urinary routine were compared between the two groups. Results Before treatment, the indexes of renal function in the two groups were similar, with no significant difference (P> 0.05). Serum creatinine (Scr), blood urea nitrogen (BUN), SBP and DBP decreased, but glomerular filtration rate (GFR) increased in both groups after treatment Reduce or increase more than the control group, the difference was statistically significant (P <0.05). The detection rate of proteinuria, urinary white blood cell (WBC) and urinary red blood cell (RBC) in the experimental group were lower than those in the control group, with statistical significance (P <0.05). Conclusion The effect of homemade balloon-built cavity on renal function and urinary routine in single-hole single-channel laparoscopic renal cyst surgeries is better than IUPU.