腹腔镜手术治疗成人型多囊肾22例疗效观察  

The observation of 22 patients with autosomal dominant polycystic kidney disease under laparoscopic procedures

作　　者：邵世修[1] 王振林[1] 张淑香[1] 刘勇[1] 侯四川[1] 孙立江[1] 阎靖中[1] 董胜国[1] 

机构地区：[1]青岛大学医学院附属医院,山东青岛266003

出　　处：《山东医药》2003年第18期11-12,共2页Shandong Medical Journal

摘　　要：对 2 2例成人型多囊肾患者行腹腔镜多囊去顶减压术 ,手术时间 4 0～ 12 0分钟 ,平均 80分钟 ;去顶囊肿的数量 2 2～ 4 5个 ,平均 30个 ;术中出血 2 0～ 4 0 ml,平均 30 ml;2 2例手术均获成功 ,无中转开放手术。术后住院时间 2～ 8天 ,平均 4天。无 1例应用镇痛药 ;术后腹痛减轻、肾功能改善 ,未见严重并发症。认为本手术切口小、损伤小、术后恢复快 。patients with autosomal dominant polycy stic kidney disease(ADPKD) underwent 22 laparoscopic procedures The operation time for laparoscopic cyst decortication was 40～120min with an average time of 80min the quantity of renal cysts decorticated was 22～45 with an average of 30 The mean intraoperative blood loss was 30ml All of the 22 procedures wer e success ful with a result of no conversion to open surgery intraoperatively The postope ration hospital stay was 2～8d with an average of 4d None of the analgesics wa s used postoperatively,while the patients with abdominal symptoms from ADPKD hav e shown marked reduction,and the patients with creatinine increased in blood ser um preoperatively have shown creatinine decreased All the procedures had no eve n any obvious complications The advantages of laparoscopic cyst decortication f or ADPKD include small incisions, less injury and a short hospital stay We bel ieve this operation is an effective and feasible method to treat the ADPKD now

关 键 词：成人型多囊肾 腹腔镜手术 治疗 疗效观察 腹腔镜多囊去顶减压术 

分 类 号：R692.12[医药卫生—泌尿科学] R699.2[医药卫生—外科学]