摘要
目的探讨后腹腔镜囊肿去顶术治疗单纯性肾囊肿的疗效。方法选取我院2013年1月～2014年1月行后腹腔镜囊肿去顶术治疗的单侧肾囊肿患者42例作为腹腔镜组,另选择2012年6月～2013年6月行开放性囊肿去顶术治疗的单侧肾囊肿患者30例作为对照组,比较两组患者的手术时间、术中出血量、术后住院时间、并发症及复发率情况。结果腹腔镜组患者的手术时间、术中出血量和住院时间与对照组比较,差异具有统计学意义（P〈0.01）。腹腔镜组的手术并发症发生率7.14%（3/42）明显低于对照组术后的并发症发生率20%（6/30）,差异有统计学意义（x^2=3.876,P〈0.05）。腹腔镜随访期间的复发率与对照组比较,差异有统计学意义（0 vs 10%,x^2=4.372,P〈0.05）。结论后腹腔镜囊肿去顶术治疗单纯性肾囊肿具有手术时间短、书中出血少、术后住院时间短、并发症少、复发率低等优点,值得推广和应用。
Objective To investigate the efficacy of retroperitoneal laparoscopic unroofing in the treatment of simple renal cyst. Methods 42 patients with renal cyst in our hospital from January 2013 to January 2014 treated by retroperitoneal laparoscopic unroofing were selected as the laparoscopic group, another 30 patients with unilateral renal cysts from June 2012 to June 2013 treated by open unroofing were selected as the control group, operation time, operation bleeding volume, postoperative hospitalization time, complications and recurrence rate between the two groups were compared. Results The operation time, intraoperative bleeding and hospitalization time in the laparoscopic group were compared with the control group, it had statistically significant difference（P〈0.01）. The incidence of the complications of laparoscopic operation were 7.14%（3/42）, it was significantly lower than that in the control group, the postoperative complication rate was 20%（6/30）, the difference was statistically significant（x^2=3.876, P〈0.05）. Laparoscopic follow-up recurrence rate were compared between the two group, the difference was statistically significant（0% vs 10%, x^2=4.372, P〈0.05）. Conclusion The retroperitoneal laparoscopic unroofing of renal cyst has shorter operation time, less bleeding in the book, shorter postoperative hospital stay, less complications, and lower recurrence rate, is worthy of promotion and application.
出处
《中国医药科学》
2015年第4期191-193,共3页
China Medicine And Pharmacy
关键词
单纯性肾囊肿
后腹腔镜囊肿去顶术
临床研究
Simple renal cyst
Retroperitoneal laparoscopic unroofing of cyst
Clinical study
