输尿管软镜下肾盂旁囊肿内切开引流的治疗体会  

Treatment of Parapelvic Cyst with Internal Incision and Drainage under Flexible Ureteroscope

作　　者：叶建亭[1] 郭昭建[1] YE Jianting;GUO Zhaojian(Xiamen Third Hospital,Xiamen 361100,China)

机构地区：[1]厦门市第三医院,福建厦门361100

出　　处：《中外医学研究》2021年第1期128-130,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探究输尿管软镜下肾盂旁囊肿内切开引流的治疗体会。方法:选取2015年5月-2020年5月笔者所在医院进行手术治疗的肾盂旁囊肿患者30例,并随机分为对照组和观察组,各15例。对照组实施微通道经皮肾镜穿刺内引流术,观察组实施输尿管软镜下肾盂旁囊肿内切开引流术。对比两组患者的术中出血量和术后疼痛评分、手术时间、住院时间及复发情况。结果:观察组的术中出血量和术后疼痛评分显著优于对照组,观察组的手术时间和住院时间均显著短于对照组,观察组的术后复发率显著低于对照组,差异均有统计学意义(P<0.05)。结论:输尿管软镜下肾盂旁囊肿内切开引流术能够有效减少患者的术中出血和术后的疼痛,并且术后恢复快、较少有复发,较为安全可靠,值得推广使用。Objective:To explore the treatment experience of internal incision and drainage of parapelvic cyst under flexible ureteroscope.Method:From May 2015 to May 2020,30 patients with parapelvic cyst in our hospital were selected and randomly divided into the control group and the observation group,with 15 cases in each group.The control group was treated with micro channel percutaneous nephrolithotomy and drainage.The observation group underwent intraperitoneal incision and drainage of the parapyelonephrosis under the ureteroscope.Intraoperative blood loss,postoperative pain score,duration of operation,length of hospital stay and recurrence were compared between the two groups.Result:The intraoperative blood loss and postoperative pain score of the observation group were significantly better than those of the control group,the operation time and hospitalization time of the observation group were significantly shorter than those of the control group,and the postoperative recurrence rate of the observation group was significantly lower than that of the control group,the differences were statistically significant (P<0.05).Conclusion:Flexible ureteroscopic internal incision and drainage of parapelvic cyst can effectively reduce the intraoperative bleeding and postoperative pain,and the postoperative recovery is fast,less recurrence,more safe and reliable,which is worthy of promotion.

关 键 词：肾盂旁囊肿 输尿管软镜 内切开引流 

分 类 号：R699.2[医药卫生—泌尿科学]