超声引导输尿管软镜钬激光切开内引流术治疗肾盂旁囊肿  

Ultrasound-guided Flexible Ureteroscopic Holmium Laser Incision and Internal Drainage in the Treatment of Parapelvic Cysts

作　　者：闫昆吾 刘文瞻[1] 孟娜[1] 路志民[1] 郭明涛[1] 王冰[1] 肖波[1] Yan Kunwu;Liu Wenzhan;Meng Na(Department of Urology,Handan First Hospital,Handan 056002,China)

机构地区：[1]河北省邯郸市第一医院泌尿外一科,邯郸056002

出　　处：《中国微创外科杂志》2019年第5期412-414,共3页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的探讨超声引导输尿管软镜钬激光切开内引流术治疗肾盂旁囊肿的有效性和安全性。方法回顾性分析2015年3月～2018年9月14例肾盂旁囊肿的临床资料,单发肾盂旁囊肿1例,双侧肾盂旁囊肿2例,肾盂旁囊肿伴同侧肾结石11例。囊肿直径3. 0～5. 5 cm,平均4. 2 cm。彩超引导下用钬激光对集合系统的囊壁行开窗引流,留置双J管引流2～3个月。结果 14例手术均成功。手术时间11～48 min,平均26 min。术中、术后无严重并发症发生。术后随访2～12个月,平均6个月,9例囊肿消失,其余5例囊肿由术前3. 8～5. 5 cm缩小至1. 5～3. 0 cm,未见囊肿复发。结论超声引导下输尿管软镜钬激光切开内引流术治疗肾盂旁囊肿安全,疗效确切。Objective To evaluate the efficacy and safety of ultrasound-guided flexible ureteroscopic holmium laser incision and internal drainage in the treatment of parapelvic cysts.Methods We retrospectively analyzed clinical data of 14 cases of renal pelvis-side cysts from March 2015 to September 2018.There were 1 case of solitary renal pelvis cyst,2 cases of bilateral parapelvis cyst,and 11 cases of parapelvis cyst combined with ipsilateral nephrolithiasis.The diameter of the cyst was 3.0-5.5 cm,with an average of 4.2 cm.Under the guidance of color ultrasonography,the wall of the collection system was opened and drained by holmium laser,and a double-J tube was retained for drainage for 2-3 months.Results The operation was successful in all the 14 cases.The operation time was 11-48 min (mean,26 min).No serious complications occurred during or after the operation.Follow-ups for 2-12 months (mean,6 months) showed that the cysts disappeared in 9 cases,and reduced from 3.8-5.5 cm preoperatively to 1.5- 3.0 cm after operation in the remaining 5 cases.No recurrence of cysts was found.Conclusion Ultrasound-guided flexible ureteroscopic holmium laser incision and internal drainage for the treatment of parapelvic cysts is safe and effective.

关 键 词：超声 输尿管软镜 钬激光 肾盂旁囊肿 

分 类 号：R699.2[医药卫生—泌尿科学]