两步法经尿道输尿管软镜精准治疗肾盂旁囊肿的临床疗效观察

发布时间：2018-02-25 16:42

本文关键词： 两步法输尿管软镜肾盂旁囊肿精准外科手术　出处：《中国内镜杂志》2017年07期 　论文类型：期刊论文

【摘要】：目的观察两步法经尿道逆行输尿管软镜精准治疗肾盂旁囊肿的临床效果。方法 2014年5月-2015年11月,于该院住院的肾囊肿患者中,23例接受两步法经尿道输尿管软镜逆行肾盂旁囊肿内引流术,回顾性分析该组患者临床资料,观察治疗效果。结果所有患者均I期手术成功,其中4例患者穿刺抽液证实为肾盏憩室,行输尿管软镜憩室口扩大引流术,其余19例均证实为肾盂旁囊肿,行囊壁内切开内引流成功,手术前后血红蛋白下降率无明显变化。无需输血,术后平均住院时间2 d,术后第1天复查尿路平片观察DJ管位置,术后1个月复查超声或CT,囊肿体积均明显缩小,术后随访6个月至1年,所有患者均无远期并发症。结论两步法经尿道输尿管软镜精准治疗能够精准鉴别肾盂旁囊肿和肾盏憩室,为下一步手术明确方向,手术操作简单,无明显并发症,术后恢复快,是治疗肾盂旁囊肿的理想治疗方法。
[Abstract]:Objective to observe the clinical effect of two-step transurethral retrograde ureteroscopy in the treatment of parapelvic cysts. Methods from May 2014 to November 2015, Twenty-three cases of renal cysts in our hospital were treated with two-step transurethral soft endoscopy retrograde drainage of parafelvic cysts. The clinical data of the patients were analyzed retrospectively and the therapeutic effects were observed. Results all the patients were successfully operated at the first stage. Among them, 4 cases were proved to be renal calyceal diverticulum by puncture and drainage, and 19 cases were confirmed as parafelvic cysts by dilated ureteral diverticulum orifice, the other 19 cases were proved to be parafelvic cysts. There was no significant change in hemoglobin drop rate before and after operation, no blood transfusion was needed, the average hospitalization time was 2 days after operation, the location of DJ tube was observed by urography on the first day after operation, and the volume of cyst was significantly reduced after 1 month of ultrasonography or CTS. All the patients were followed up for 6 months to 1 year, and no long-term complications were found in all patients. Conclusion the two-step ureteral soft endoscopy can accurately distinguish the parafelvic cyst from the calyceal diverticulum, which is the direction of the next operation and the operation is simple. No obvious complications and quick recovery after operation is an ideal treatment for parapelvic cysts.
【作者单位】：河北大学附属医院泌尿外科;
【分类号】：R699.2

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