后腹腔镜肾囊肿去顶术30例临床分析  

作　　者：蔡鹤龄[1] 

机构地区：[1]湖北省武汉市黄陂区人民医院泌尿外科,湖北武汉430300

出　　处：《特别健康（下）》2014年第6期1-2,共2页SPECIAL HEALTH

摘　　要：目的：研究观察采用后腹腔镜肾囊肿去顶术治疗肾囊肿的临床疗效。方法：选取2012年3月至2014年3月期间在我院采取后腹腔镜肾囊肿去顶术治疗的30例肾囊肿患者，将其随机为观察组与对照组，每组各15例。对照组患者采用开放肾囊肿去顶术进行治疗，而观察组患者则采用后腹腔镜肾囊肿去顶术进行治疗。记录两组患者的术中出血量、手术时间、引流管拔除时间、肠蠕动恢复时间、术后下床时间以及术后住院天数等指标，并进行对比。结果：（1）两组患者的引流管拔除时间比较，差异无统计学意义（P〉0．05）；两组患者的肠蠕动恢复时间比较，差异显著有统计学意义（P〈0．05）；两组患者的术中出血量、手术时间、术后下床时间以及术后住院天数等指标比较，差异显著均有统计学意义（P均〈0．01）。（2）观察组患者无一例有并发症发生，而对照组15例患者中有3例在手术过程中出现胸膜损伤现象，2例在手术结束后因脂肪液化或者感染导致伤口愈合不佳。（3）对两组患者均进行2—12个月的随访，均未有一例患者出现复发现象。结论：采用后腹腔镜肾囊肿去顶术治疗肾囊肿，具有术中出血量少，手术时间以及术后下床时间、住院时间短等优势，是一种科学、有效、安全的治疗方法，值得临床推广应用。Objective： To observe the＇clinical efiqcacy of retroperitoneal laparescopic renal cyst unroofing for renal cyst. Methods： 30 cases of patients with renal cyst from 2012 March to 2014 during March in our hospital were taken after laparoscopic unroofing of renal cyst treated, it will be randomly into observation group and control group, each group had 15 cases. The control group was treated with open renal cyst unroofing for treatment, while the patients in the observation group was used after laparoseopie unroofing of renal cyst treatment. Record two groups of patients with intraoperative bleeding volume, operation time, drainage tube removal time, recovery time of intestinal peristalsis, postoperative bed time, postoperative hospital stay and other indicators, and carries on the contrast. Results ： the drainage tube removal time of two groups of patients, no significant difference （ P 〉 0. 05 ） ; compared two groups of patients with recovery time of intestinal peristalsis, significant difference was statistically significant （ P 〈 0.05 ） ; the two groups of patients with perioperative bleeding, operation time, postoperative ambulation time and postoperative length of hospital stay were compared, differences were statistically significant （ P 〈 0.01 ）. The pa- tients in the observation group with no complications, and 15 patiehts in the control group, 3 eases of pleural injury phenomenon during the operation, 2 cases in the operation procedure of fat liquefaction or infection can lead to poor wound healing. The two groups of patients were followed up for 2 - 12 months, no patients recurrence. Conclusion ： retroperitoneal laparoseopic renal cyst unroofing for renal cyst, has less bleeding, operation time and postoperative time, short hospitalization time advantage, method of treatment is a scientific, effective, safe. worthy of clinical avplication.

关 键 词：肾囊肿去顶术 后腹腔镜 临床分析 肠蠕动恢复时间 术中出血量 治疗方法 手术时间 下床时间 

分 类 号：R692[医药卫生—泌尿科学]