输尿管软镜内切开引流术与后腹腔镜下囊肿去顶术的疗效对比研究
发布时间：2018-12-10 20:45
【摘要】：目的 对比经尿道输尿管软镜下肾囊肿内切开引流术和后腹腔镜下肾囊肿去顶术临床疗效。 方法 采用回顾性分析,选取40例肾囊肿患者,年龄44岁到75岁,平均年龄61岁,分为两组,即A组(输尿管软镜下内切开引流术)和B组(后腹腔镜下肾囊肿去顶术),观察两组患者治疗效果、并发症及术后随访结果。 结果 两组手术均成功,B组因1例患者粘连比较严重而改为开放手术,术中术后均无明显的并发症,术后复查CT或者B超提示肾囊肿消失或直径缩小至术前一半以上。而手术时间,术中出血量,术后疼痛分数及术后住院时间方面,A组均优于B组,差异均有显著意义(P0.05)。随访中两组未发现肾囊肿复发。 结论 1.输尿管软镜治疗肾囊肿是安全、有效的； 2.通过一定的病例选择,输尿管软镜内切开引流术优于后腹腔镜去顶术；具有近期微创,安全,有效,无痛苦,并发症少,住院时间短,恢复快,无切口的优点,可作为腹腔镜治疗肾囊肿的补充； 3.输尿管软镜治疗外周型肾囊肿存在不足。
[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.
【学位授予单位】：中南大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R699.2
本文编号：2371176
[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.
【学位授予单位】：中南大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R699.2
【参考文献】
相关期刊论文 前1条
1 胡斌;王晓平;蓝志相;黎承阳;邓耀良;玉海;黄延伟;;经输尿管镜肾囊肿内切开引流术与后腹腔镜肾囊肿去顶术对比研究[J];中国内镜杂志;2011年12期
，本文编号：2371176
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