摘要
目的探讨后腹腔镜下肾囊肿去顶减压联合微创经皮肾镜取石术(MPCNL)同期处理肾囊肿合并结石的价值。方法对来本院就诊的23例肾囊肿合并结石的患者(两者均有手术指征)均采用后腹腔镜下肾囊肿去顶减压联合MPCNL术进行治疗,系统回顾分析患者手术成败、手术时间、术中出血量、结石清除率、术后并发症以及囊肿复发等情况。结果 23位患者手术均成功(无中转开放手术),手术平均时间为120 min,术中平均出血量为90 ml,术后无大出血、恶性高血压、感染等严重并发症发生。一期结石清除率82.6%(19/23),4例经二期MPCNL处理后完全康复。所有患者经6-12个月随访均未见囊肿复发。结论后腹腔镜下肾囊肿去顶减压联合MPCNL术能同期治疗肾囊肿合并结石,手术安全、有效、可行,能减轻分期手术给患者带来的痛苦,值得在临床上推荐使用。
Objective To evaluate the clinical value of retroperitoneoscopic unroofing and decompression in combination with mini-per- cutaneous nephrolithotomy（MPCNL） for renal cysts complicated with nephrolithiasis. Methods Retroperitoneoscopic unroofing and de- compression in combination with MPCNL was used to treat 23 cases of renal cysts complicated with nephrolithiasis in our hospital. The successful rate, the average operation time, the perioperative volume of bleeding,the clearance rate of nephrolithiasis, postoperative compli- cations and the relapse of renal cysts were retrospectively analyzed. Results All operations were successful, and no patients were con- verted to the open operation. The average operation time was 120 min,and the volume of bleeding was 90 ml. There was no hemorrhage, malignant hypertension and infection after operation. The clearance rate of calculus was 82.6% （19/23） in phase I, and four patients were cured at the second stage of MPCNL. There was no renal cyst recurrence after followed up for 6-12 months. Conclusion The combina- tion of retroperitoneoscopic unroofing and decompression and MPCNL for renal cysts complicated with nephrolithiasis is safe, effective and feasible. It can reduce the patients＇ suffering from staging operations and is worthy to be recommended in clinical practice.
出处
《山西医科大学学报》
CAS
2013年第4期304-306,328,共4页
Journal of Shanxi Medical University
