后腹腔镜肾囊肿去顶术与经腰小切口肾囊肿去顶术治疗单纯性肾囊肿的效果对比  

Comparison of laparoscopic and open renal cyst unroofing with small incision

作　　者：李鑫[1] 李保国[1] 王文生[1] 薛建[1] 俞小明[1] 

机构地区：[1]北京市海淀医院泌尿外科,北京大学第三医院海淀院区泌尿外科,北京100080

出　　处：《当代医药论丛》2017年第2期10-11,共2页

摘　　要：目的:比较使用后腹腔镜肾囊肿去顶术与经腰小切口肾囊肿去顶术治疗单纯性肾囊肿的效果。方法:选取近几年我院收治的103例单纯性肾囊肿患者作为研究对象。随机将这些患者分为后腹腔镜组和小切口组。为后腹腔镜组患者使用后腹腔镜肾囊肿去顶术进行治疗,为小切口组患者使用经腰小切口肾囊肿去顶术进行治疗。然后比较两组患者手术持续的时间、术中出血量、术后住院的时间、治疗的费用及病情复发的情况。结果:经治疗,两组患者手术持续的时间、术中出血量及病情的复发率相比,差异无统计学意义(P>0.05)。后腹腔镜组患者术后住院的时间明显短于小切口组患者,差异具有统计学意义(P<0.05)。小切口组患者治疗的费用明显低于后腹腔镜组患者,差异具有统计学意义(P<0.05)。结论:使用后腹腔镜肾囊肿去顶术与经腰小切口肾囊肿去顶术均可有效地治疗肾囊肿。与使用经腰小切口肾囊肿去顶术相比,使用后腹腔镜肾囊肿去顶术治疗肾囊肿对患者造成的创伤较小,但治疗的费用较高。临床医生可根据患者的经济情况及医院的医疗条件为其选择合适的术式。Objective To investigate the clinical significance of laparoscopic and small incision renal cyst unroofing. Methods 103 cases of simple renal cyst were random divided two groups,56 cases were performed with retroperitoneal laparoscopy unroofing,and 47 cases were performed with small incision renal cyst unroofing for renal cyst. The operative time,average blood loss,medical expenses,hospitalization time and recurrence rate of two groups were compared. Results The two groups has no significant difference in operative time,average blood loss and recurrence rate,small incision group has lower medical expenses and longer hospitalization time than retroperitoneal laparoscopy group. Conclusions Retroperitoneal laparoscopy unroofing is an effective and safe option for renal cyst,small incision operating can be used without laparoscopic equipment.

关 键 词：肾囊肿 后腹腔镜肾囊肿去顶术 经腰小切口肾囊肿去顶手术 

分 类 号：R699[医药卫生—泌尿科学]