后腹腔镜去顶减压术联合囊壁外翻钛夹固定治疗肾囊肿的效果及对复发率的影响  

The efficacy of retroperitoneal laparoscopic unroofing decompression com bined with cyst wall eversion titanium clip fixation for renal cyst and its effect on recurrence rate

作　　者：张俊鑫 张育周 黄志雄 连乐林 赵让加 ZHANG Junxin;ZHANG Yuzhou;HUANG Zhixiong;LIAN Lelin;ZHAO Rangjia(Department of Urology,Puning Overseas Chinese Hospital,Guangdong Province,Guangdong,Puning 515300,China)

机构地区：[1]广东省普宁华侨医院泌尿外科,广东普宁515300

出　　处：《中国医药科学》2020年第14期207-209,共3页China Medicine And Pharmacy

基　　金：广东省揭阳市科技计划项目(2017YL030)。

摘　　要：目的 研究后腹腔镜去顶减压术联合囊壁外翻钛夹固定对肾囊肿的治疗效果及复发率的影响.方法 按随机数字表法将本院2017年12月-2019年6月收治的60例肾囊肿患者分为观察组与对照组,各30例,对照组给予后腹腔镜去顶减压术治疗,观察组治疗方法 是后腹腔镜去顶减压术联合囊壁外翻钛夹固定.观察两组患者的疗效、并发症和复发率发生情况.结果 观察组手术时间与对照组比较差异无统计学意义(P>0.05),但其住院时间比对照组短,术中出血量比对照组少,差异有统计学意义(P<0.05);观察组并发症的发生率6.67%,较对照组(30.00%)低,差异有统计学意义(P<0.05);观察组无人复发,而对照组复发4例,两组术后复发率比较差异无统计学意义(连续性校正χ^2=2.411,P=0.121>0.05).结论 后腹腔镜去顶减压术联合囊壁外翻钛夹固定治疗肾囊肿临床疗效较好,术中出血少,并发症少,复发少,值得采纳.Objective To study the efficacy of retroperitoneal laparoscopic unroofing decompression combined with cyst wall eversion titanium clipfixation for renal cyst and its effect on recurrence rate. Methods 60 patients with renal cyst diagnosed and treated in our hospital from December 2017 to June 2019 were divided into the observation group and the control group by random number table method with 30 cases in each group. The control group was treated with retroperitoneal laparoscopic unroofing decompression and the observation group was treated with retroperitoneal laparoscopic unroofing decompression combined with cyst wall eversion titanium clip fixation. The curative effect on, complications in and recurrence rate of the two groups were observed. Results There was no statistically significant difference in the operation time between the observation group and the control group(P>0.05), but the hospitalization time of the observation group was shorter and its intraoperative hemorrhage was less than that of the control group, with statistically significant difference(P < 0.05).The incidence of complications in the observation group was 6.67%, which was significantly lower than the 30.00% in the control group, with statistically significant difference(P < 0.05). No recurrence occurred in the observation group, while four cases of recurrence occurred in the control group. There was no statistically significant difference in the postoperative recurrence rate between the two groups(continuity correction χ~2=2.411, P=0.121 > 0.05). Conclusion Retroperitoneal laparoscopic unroofing decompression combined with cyst wall eversion titanium clip fixation for renal cyst has better clinical efficacy, less intraoperative hemorrhage, fewer complications and recurrences, so it is worthy of adoption.

关 键 词：后腹腔镜去顶减压术 囊壁外翻钛夹固定 肾囊肿 复发率 

分 类 号：R699.2[医药卫生—泌尿科学]