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目的分析不同肾囊肿手术治疗方法的特点及适应症。方法对101例经过外科手术治疗的肾囊肿患者的临床资料分析和定期随访,总结出各种不同手术治疗方法的特点。结果开放手术组22例,17例为复杂性囊肿,腹腔镜手术组62例,小切口手术组17例。3组病例随访36个月均无复发。结论对患者的创伤程度,小切口手术优于腹腔镜手术,而腹腔镜手术优于开放手术。开放手术主要适用于复杂性肾囊肿,腹腔镜手术适用于单纯肾囊肿,小切口适用于肾下极及肾中部背侧囊肿。临床工作中应根据肾囊肿的不同临床特点选择适当的手术方式。
Objective To analyze the characteristics and indications of surgical treatment of different renal cysts. Methods The clinical data of 101 patients with surgically treated renal cysts were analyzed and regularly followed up to summarize the characteristics of various surgical methods. Results In the open surgery group, 22 cases were complicated with 17 cases of complicated cysts, 62 cases of laparoscopic surgery group and 17 cases of small incision surgery group. Three groups of patients were followed up for 36 months without recurrence. Conclusions The degree of trauma to patients is better than laparoscopic surgery for small incision and laparoscopic surgery is superior to open surgery. Open surgery is mainly applied to complex renal cysts, laparoscopic surgery for simple renal cysts, small incision for the lower kidney and kidney dorsal cyst. Clinical work should be based on the different clinical features of renal cysts to choose the appropriate surgical approach.