摘要
目的比较开放手术、B超引导下穿刺硬化术及腹腔镜下去顶减压术治疗肾囊肿的优劣。方法对2006年1月至2009年9月收治的确诊为肾囊肿的128例患者的资料进行统计分析，其中采用开放手术15例，B超引导下穿刺硬化40例，腹腔镜73例（经腹腹腔镜20例，腹膜后腹腔镜53例）。对不同手术方式的手术时间、术中出血、术后并发症、术后住院天数、复发情况等进行比较分析。结果开放组、穿刺组、腹腔镜组手术时间平均为（70．0±5．0）min、（15．0±2．5）min、（80．0±1．5）min；各组平均出血量分别为（90．0±2．0）ml、（2．0±0．5）ml、（50．0±2．0）ml；各组平均禁食时间为（40．0±1．5）h、（2．0±0．4）h、（23．0±1．5）h；各组术后平均住院天数为（10．0±1．2）d、（10．6±1．5）d、（6．0±1．4）d。结论B超引导穿刺组及腹腔镜组在术后恢复方面，明显优于开放组。穿刺组的复发率明显高于腹腔镜组与开放组，但穿刺组的手术时间比二者短，恢复时间亦短于二者。
Objective To compare the therapeutic effects of laparoscopic renal cyst unroofing and renal cyst puncture with open renal cyst unroofing. Methods To clinical datas of 128 patients diag- nosed with kidney cyst from January 2006 to September 2009, 15 cases received open renal cyst unroofing, 40 cases received renal cyst puncture and 89 cases were treated by laparoscopie renal cyst unroofing. Results For open group, mean operative time was （70.0 ± 5.0 ）min, mean blood loss was （90. 0 ±2.0 ） ml, the average fasting time was （ 40.0 ±1.5 ） h, mean postoperative hospital stay （10. 0 ±1.2）d. For puncture group, mean operative time was （15.0 ± 2. 5）rain, mean blood loss was （2.0 ±0. 5 ） ml, the average fasting time was （2.0 ±0. 4 ） h, mean postoperative hospital stay （ 10. 6± 1.5） d, the laparoseopie group mean operative time was （80. 0 ± 1.5 ） min, mean blood loss was （50. 0± 2.0） ml, the average fasting time was （23.0 ± 1.5 ） h, mean postoperative hospital stay （6.0 ± 1.4） d. Conclusions In the postop- erative recovery aspect, renal cyst puncture group and laparoscopic group was better than the open group. The recurrence of puncture group is obviously higher than laparoscopic group and open group, but the operation time of puncture group is shorter and recovery time is lower.
出处
《中国实用医刊》
2011年第22期39-41,共3页
Chinese Journal of Practical Medicine
