亚甲蓝囊肿内注射在输尿管软镜内切开引流术治疗肾盂旁囊肿中的应用  

Application of methylene blue cyst injection in the treatment of parapelvic cyst by flexible ureteroscopic internal incision and drainage

作　　者：陈荧野 陈勇[1] 魏小杭 孙伟[1] 张鑫[1] CHEN Yingye;CHEN Yong;WEI Xiaohang;SUN Wei;ZHANG Xin(Department of Urology,Chongqing University Fuling Hospital,Chongqing 408000,China)

机构地区：[1]重庆大学附属涪陵医院泌尿外科,408000

出　　处：《重庆医学》2022年第18期3183-3186,共4页Chongqing medicine

基　　金：吴阶平医学基金资助项目(320.6750.16057)。

摘　　要：目的探讨亚甲蓝囊肿内注射在输尿管软镜内切开引流术治疗肾盂旁囊肿的价值。方法回顾性分析2015年5月至2020年12月该院收治的59例输尿管软镜内切开引流治疗肾盂旁囊肿患者的临床资料,分为亚甲蓝组(28例)和对照组(31例)。亚甲蓝组采用亚甲蓝囊肿内注射后行输尿管软镜内切开引流术,对照组直接行肾盂旁囊肿输尿管软镜钬激光内切开引流术。比较两组手术情况、疗效及并发症发生情况。结果亚甲蓝组1例、对照组2例患者术中未找到囊肿。与对照组比较,亚甲蓝组手术时间[(21.9±4.6)min vs.(25.3±5.1)min]和寻找囊肿时间[(4.9±2.2)min vs.(8.8±4.4)min]更短,差异有统计学意义(P<0.05)。两组治疗有效率和并发症发生情况比较,差异无统计学意义(P>0.05)。结论亚甲蓝囊肿内注射可准确定位囊肿切开部位,缩短手术时间。Objective To investigate the value of methylene blue cyst injection in the treatment of parapelvic cyst by flexible ureteroscopic internal incision and drainage.Methods A retrospective study was performed on the clinical data of 59 cases with parapelvic cysts treated by flexible ureteroscopic internal incision and drainage from May 2015 to December 2020.These patients were divided into the methylene blue group(28 cases)and the control group(31 cases).The methylene blue group used methylene blue cysts injection before flexible ureteroscopic internal incision and drainage,while the control group used flexible ureteroscopic holmium laser internal incision and drainage directly.Compared surgical conditions,curative effects and complications between the two groups.Results No cysts were found in 1 patient in the methylene blue group and 2 patients in the control group.Compared with the control group,the methylene blue group had shorter operation time[(21.9±4.6)min vs.(25.3±5.1)min]and shorter searching cysts time[(4.9±2.2)min vs.(8.8±4.4)min],the difference was statistically significant(P<0.05).There was no significant difference in the curative effects and the incidence of complications between the two groups(P>0.05).Conclusion Methylene blue cyst injection can accurately locate the cyst incision site and shorten the operation time.

关 键 词：肾盂旁囊肿 亚甲蓝 输尿管软镜 内切开引流 钬激光 

分 类 号：R699.2[医药卫生—泌尿科学]