经尿道输尿管软镜治疗肾盂旁囊肿的临床疗效分析  

The efficacy and safety of flexible ureteroscope with holium laser for peripelvic renal cyst

作　　者：王乾[1] 王淇超[1] 鞠文彬 孙卫兵[3] 曹敬毅[1] 吴刚[1] 赵炎[1] Wang Qian;Wang Qichao;Ju Wenbin;Sun Weibing;Cao Jingyi;Wu Gang;Zhao Yan(Department of Urology,Xuzhou Cancer Hospital,Xuzhou 221005,China;Department of Urology,Tengzhou Central People's Hospital,Tengzhou 277500,China;Department of Urology,the Second Affiliated Hospital of Dalian Medical University,Dalian 116027,China)

机构地区：[1]江苏大学附属徐州医院(徐州市肿瘤医院)泌尿外科,221005 [2]滕州市中心医院人民医院泌尿外科,277500 [3]大连医科大学附属第二医院泌尿外一科,大连116027

出　　处：《国际泌尿系统杂志》2021年第1期64-66,共3页International Journal of Urology and Nephrology

基　　金：2016年徐州市科委资助课题(KC16SH038)。

摘　　要：目的探讨经尿道输尿管软镜治疗肾盂旁囊肿的临床疗效。方法回顾性分析2015年9月至2018年12月本院及大连医科大学附属二院收治的52例行手术治疗的肾盂旁囊肿患者的临床资料。依据手术方式不同分为软镜组(22例)及腹腔镜组(30例),通过比较两组手术疗效及术后恢复情况,评估两组患者临床疗效的差异。结果两组患者均未出现严重的感染和出血。输尿管软镜肾盂旁囊肿内切开引流术与腹腔镜下肾盂旁囊肿去顶减压术对比,手术时间、术中出血量、住院时间显著减少(P<0.05),而术后排气时间、下床时间比较,差异无统计学意义(P>0.05)。结论输尿管软镜下切开内引流术治疗肾盂旁囊肿具有创伤小、安全性高、恢复快及疗效满意等特点,值得临床合理选择运用。Objective To explore the efficacy and safety of flexible ureteroscope with holium laser in the treatment of peripelvic renal cysts.Methods The clinical data of 22 patients with parapelvic cyst from 2015 to 2018 in our hospital fwere analyzed retrospectivelyt.Results Twenty-two cases were successfully completed without conversion to open,norecurrence was found.Conclusions Flexible ureteroscope holmium laser incision drainage in the treatment of parapelvic cyst is a safe,effective and minimally invasive method,it has good curative effect and obvious advantages.

关 键 词：肾盂 囊肿 输尿管镜检查 腹腔镜检查 

分 类 号：R699.2[医药卫生—泌尿科学]