单孔后腹腔镜与传统后腹腔镜治疗肾囊肿的对比研究

发布时间：2017-12-27 08:31

本文关键词：单孔后腹腔镜与传统后腹腔镜治疗肾囊肿的对比研究　出处：《重庆医学》2016年28期 　论文类型：期刊论文

【摘要】：目的比较单孔后腹腔镜和传统后腹腔镜肾囊肿去顶术的临床疗效及安全性。方法将60例单纯肾囊肿患者分为单孔后腹腔镜组(治疗组30例)和传统后腹腔镜组(对照组30例)。记录患者年龄、体质量指数(BMI)、囊肿直径、手术时间、术中出血量、术后疼痛评分、禁食时间、留置引流管时间、术后住院时间、术后并发症等临床资料,并对结果进行分析。结果 60例手术均获成功,无明显术后并发症发生,复查均未见囊肿复发。治疗组手术时间长,但治疗组在疼痛评分、术后住院时间方面优于对照组,差异有统计学意义(P0.05);两组患者在术中出血量、术后禁食时间、留置引流管时间方面差异均无统计学意义(P0.05)。结论单孔后腹腔镜肾囊肿去顶术简单有效,该术式为有美容要求的患者提供一种新的选择,值得在临床中推广应用。
[Abstract]:Objective to compare the clinical efficacy and safety of single pore retroperitoneoscope and traditional retroperitoneal laparoscopic nephrectomy for renal cysts. Methods 60 cases of simple renal cysts were divided into single pore retroperitoneoscopy group (30 cases) and traditional retroperitoneoscopy group (30 cases of control group). Age, body mass index (BMI), cyst diameter, operative time, intraoperative blood loss, postoperative pain score, fasting time, postoperative drainage time, postoperative hospitalization time and postoperative complications were recorded, and the results were analyzed. Results all the 60 cases were successfully operated and no postoperative complications occurred. No recurrence of the cyst was found in the reexamination. The operation time in the treatment group was longer, but the pain score and postoperative hospitalization time in the treatment group were better than those in the control group (P0.05). There was no statistically significant difference in bleeding volume, postoperative fasting time and time of drainage tube between the two groups (P0.05). Conclusion the single hole retroperitoneal laparoscopic renal cyst removal is a simple and effective method. This method provides a new choice for patients with cosmetic requirements and is worthy of application in clinical practice.
【作者单位】：安徽医科大学附属省立医院泌尿外科;安徽医科大学附属六安医院泌尿外科;
【分类号】：R699.2
【正文快照】： 肾囊肿是泌尿外科常见疾病,后腹腔镜肾囊肿去顶术微创优势明显,此术式已替代开放手术,成为肾囊肿治疗的标准术式。随着腹腔镜技术的发展,单孔腹腔镜(laparoendoscopicsingle-site surgery,LESS)应运而生。2013年4月至2015年8月笔者对60例单纯肾囊肿患者随机采用单孔后腹腔镜肾

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