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目的:研讨采用腹腔镜肾囊肿去顶减压术治疗肾囊肿与经皮肾穿刺碎石术治疗肾结石对于肾囊肿伴肾结石患者的临床效果。方法:研究对象从本源2010年4月至2015年4月期间选取,选取肾结石合并肾囊肿患者73例,按照随机双盲法分为对照组36例(传统开腹手术)和治疗组37例(腹腔镜肾囊肿去顶减压术与经皮肾穿刺碎石术联合治疗),对比两组手术时间、下床活动时间、胃肠功能恢复时间、住院时间、出血量以及术后疼痛评分(VAS评分)结果,同时比较两组患者结石清除率、术后并发症以及术后复发率。结果:治疗组手术时间、胃肠功能恢复时间、下床活动时间、住院时间均明显短于对照组,且术中出血量也较对照组少,术后VAS评分较对照组低,并且治疗组结石清除率较对照组高,术后并发症较对照组少,复发率较对照组低,以上差异统计学分析具有显著性(P<0.05)。结论:腹腔镜肾囊肿去顶减压术联合经皮肾穿刺碎石术对于肾结石合并肾囊肿患者的治疗效果显著,且结石复发率低,并发症少,创伤小,还能减轻疼痛。
Objective: To study the clinical effect of laparoscopic renal cyst debridement on the treatment of patients with renal cysts and renal stones treated with renal cyst and percutaneous nephrolithotomy lithotripsy. Methods: The subjects were selected from April 2010 to April 2015 from April 2010 to April 2015. 73 patients with renal calculi and renal cyst were selected and randomly divided into control group (36 cases) (conventional laparotomy) and treatment group (37 cases) (Laparoscopic renal cyst debridement and percutaneous nephrolithotomy combined with lithotripsy), the two groups were compared operation time, ambulation time, gastrointestinal function recovery time, hospital stay, bleeding volume and postoperative pain score ( VAS score) results, while comparing the two groups of patients stone clearance, postoperative complications and postoperative recurrence rate. Results: The operation time, recovery time of gastrointestinal function, time of ambulation and hospital stay in the treatment group were significantly shorter than those in the control group, and the amount of blood loss in the treatment group was less than that in the control group. The postoperative VAS score was lower in the treatment group The rate of stone removal was higher than that of the control group. The postoperative complications were less than those of the control group. The recurrence rate was lower than that of the control group. The above statistical difference was significant (P <0.05). Conclusion: Laparoscopic renal cyst decompression combined with percutaneous nephrolithotomy for the treatment of patients with renal stones and renal cysts significant effect, and the low rate of stone recurrence, fewer complications, less trauma, but also reduce pain.