【摘要】：目的 對比經(jīng)尿道輸尿管軟鏡下腎囊腫內切開引流術和后腹腔鏡下腎囊腫去頂術臨床療效。 方法 采用回顧性分析,選取40例腎囊腫患者,年齡44歲到75歲,平均年齡61歲,分為兩組,即A組(輸尿管軟鏡下內切開引流術)和B組(后腹腔鏡下腎囊腫去頂術),觀察兩組患者治療效果、并發(fā)癥及術后隨訪結果。 結果 兩組手術均成功,B組因1例患者粘連比較嚴重而改為開放手術,術中術后均無明顯的并發(fā)癥,術后復查CT或者B超提示腎囊腫消失或直徑縮小至術前一半以上。而手術時間,術中出血量,術后疼痛分數(shù)及術后住院時間方面,A組均優(yōu)于B組,差異均有顯著意義(P0.05)。隨訪中兩組未發(fā)現(xiàn)腎囊腫復發(fā)。 結論 1.輸尿管軟鏡治療腎囊腫是安全、有效的； 2.通過一定的病例選擇,輸尿管軟鏡內切開引流術優(yōu)于后腹腔鏡去頂術；具有近期微創(chuàng),安全,有效,無痛苦,并發(fā)癥少,住院時間短,恢復快,無切口的優(yōu)點,可作為腹腔鏡治療腎囊腫的補充； 3.輸尿管軟鏡治療外周型腎囊腫存在不足。
[Abstract]:Objective to compare the clinical effects of transurethral soft ureteroscopy with internal incision and drainage and retroperitoneal laparoscopic renal cyst removal. Methods 40 patients with renal cysts, aged from 44 to 75 years, with an average age of 61 years, were divided into two groups: group A (ureteral soft endoscope incision and drainage) and group B (retroperitoneal laparoscopic renal cyst removal). The therapeutic effect, complications and postoperative follow-up results were observed in both groups. Results the operation was successful in both groups. Group B was operated on because of the severe adhesion of one patient. There were no obvious complications during and after operation. CT or B-ultrasound showed that the renal cyst disappeared or the diameter reduced to more than half before operation. The operative time, intraoperative bleeding volume, postoperative pain score and postoperative hospitalization time in group A were better than those in group B (P0.05). No recurrence of renal cyst was found in the two groups. Conclusion 1. Soft ureteroscopy is safe and effective in the treatment of renal cyst. Through certain case selection, soft ureteroscopic incision and drainage was superior to retroperitoneal laparoscopy. It has the advantages of minimally invasive, safe, effective, painless, less complications, short hospital stay, quick recovery and no incision. It can be used as a supplement for laparoscopic treatment of renal cyst. The treatment of peripheral renal cyst by soft ureteroscopy is insufficient.
【學位授予單位】：中南大學
【學位級別】：碩士
【學位授予年份】：2014
【分類號】：R699.2

【參考文獻】

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1 胡斌;王曉平;藍志相;黎承陽;鄧耀良;玉海;黃延偉;;經(jīng)輸尿管鏡腎囊腫內切開引流術與后腹腔鏡腎囊腫去頂術對比研究[J];中國內鏡雜志;2011年12期

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本文編號：2371176