经皮肾穿刺治疗肾盂旁囊肿11例
发布时间:2018-05-20 03:29
本文选题:肾盂旁囊肿 + 经皮肾穿刺内引流术 ; 参考:《郑州大学》2014年硕士论文
【摘要】:目的与背景 通过分析相关的临床资料,查阅与肾盂旁囊肿有关的文献,探讨经皮肾穿刺内引流技术治疗肾盂旁囊肿的临床疗效。肾盂旁囊肿是肾囊肿这类疾病中较为特殊的一种,囊肿邻近肾盂或肾盏,临床上较少见,因囊肿压迫肾脏集合系统而出现腰疼、血尿、高血压及肾积水等,因囊肿与肾动脉、肾静脉及肾盂关系密切,手术较难处理。传统开放性囊肿去顶减压术创伤较大,目前国内多使用腹腔镜技术治疗肾盂旁囊肿,关于经皮肾穿刺内引流治疗肾盂旁囊肿的方式较少。 方法 回顾性分析2010年6月至2012年6月郑州大学第一附属医院泌尿外科收治的11例肾盂旁囊肿患者的临床资料,,11例均行经皮肾穿刺手术治疗,术后患者均得到随访,观察患者术后症状恢复情况。 结果 11例患者手术均获成功,手术时间28~65min,平均40min,术中出血量15~35ml,平均出血25ml。无大出血,肾盏撕裂,肾盂损伤等。平均住院5d,术后第2天可进食,第3天可下床活动。术后随访1~3年,无复发。结论 经皮肾穿刺内引流治疗肾盂旁囊肿是一个相对来说简单的手术,具有创伤小,出血少,恢复快,疗效确切等优点,可以作为肾盂旁囊肿的有效治疗方法。
[Abstract]:Purpose and background By analyzing the relevant clinical data and consulting the literature related to parapelvic cysts, the clinical effect of percutaneous renal puncture and internal drainage in the treatment of parapelvic cysts was discussed. Parapelvic cysts are one of the special diseases of renal cysts. The cysts are adjacent to the renal pelvis or calyceus. They are rare in clinic. They cause pain in the waist, hematuria, hypertension, hydronephrosis, etc., due to the cysts and renal arteries. The renal vein and renal pelvis are closely related, and the operation is difficult to deal with. The traditional open cyst decompression surgery is more traumatic. At present, laparoscopic treatment of parapelvic cysts is mostly used in China, and there are few methods of percutaneous renal puncture and internal drainage for parapelvic cysts. Method From June 2010 to June 2012, the clinical data of 11 patients with parafelvic cysts treated in Urology, the first affiliated Hospital of Zhengzhou University, were retrospectively analyzed. To observe the recovery of symptoms after operation. Result The operative time was 2865 min (mean 40 min). The blood loss during operation was 1535 ml with an average bleeding of 25 ml. No massive bleeding, laceration of calyceal, injury of renal pelvis, etc. The average hospital stay was 5 days, the second day after operation, and the third day, you could get out of bed. Follow-up for 1 to 3 years showed no recurrence. Conclusion Percutaneous renal puncture and internal drainage is a relatively simple operation for parapelvic cysts, which has the advantages of less trauma, less bleeding, quick recovery and accurate curative effect. It can be used as an effective method for the treatment of parapelvic cysts.
【学位授予单位】:郑州大学
【学位级别】:硕士
【学位授予年份】:2014
【分类号】:R699
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