输尿管软镜内切开引流术及后腹腔镜 下囊肿去顶术的疗效对比研究

Comparison of flexible ureteroscope incision and drainage and retroperitoneoscopic unroofing in treatment of renal cyst

摘要:

目的 对比经尿道输尿管软镜下肾囊肿内切开引流术和后腹腔镜下肾囊肿去顶术临床疗效。方法 选取40例肾囊肿患者。年龄44~75岁，平均年龄61岁，随机分为两组，即实验组（输尿管软镜下内切开引流肾囊肿）和对照组（后腹腔镜下肾囊肿去顶术），观察两组患者治疗效果、并发症及术后随访结果。结果 两组手术均成功，对照组因为1例患者粘连比较严重而改为开放手术，术中术后均无明显的并发症，术后复查CT或者B超提示肾囊肿消失或直径缩小至术前一半以上。而术中的手术时间，术中出血量，术后疼痛分数及术后住院时间方面，实验组均优于对照组，差异均有显性（P <0.05）。随访12个月，期间，两组未发现肾囊肿复发。结论 经尿道输尿管软镜技术治疗肾囊肿（与肾集合系统毗邻的肾囊肿）具有近期微创，安全，有效，无痛苦，并发症少，住院时间短，恢复快，美容效果极佳的疗效，但远期效果需要进一步观察。

Abstract:

【Objective】 To compare the clinical effect of flexible ureteroscope incision and drainage and retroperitoneoscopic unroofing. 【Methods】 40 patients with renal cyst, adjacent to the renal collecting system, were divided into study group and control groups with 20 cases each. The ages were from 44 year to 75 year (averaged 61 year). The study group was incised and drained by the flexible ureteroscope. And the control group accepted the method of retroperitoneoscopic unroofing. The effect of treatment, complication and results postoperative follow-up were observed. 【Results】 There were statistically significant differences (P <0.05) betwecn the study group and the control group in the aspect of the blood loss during the operation, time of operation, Bostoperative pain scores and hospital stay after operation. During a follow-up of 12 months, the renal cyst did not recurred in the two groups. 【Conclusion】 The flexible ureteroscope incision and drainage method is minimally invasive, safe, effective, no pain, fewer complications, shorter hospitalization time, rapid recovery and good cosmetic effect in the short term.