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肾囊肿后腹腔镜去顶减压术实施带蒂脂肪瓣填塞治疗肾囊肿疗效观察 预览

Effect of pedicled fat flap plugging on retroperitoneal laparoscopic unroofed decompression of renal cysts
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摘要 目的:探讨后腹腔镜去项减压术实施带蒂脂肪瓣填塞治疗肾囊肿的临床疗效。方法:将72例于我院行肾囊肿手术治疗的患者随机分为治疗组36例和对照组36例。治疗组采用后腹腔镜去顶减压术实施带蒂脂肪瓣填塞治疗;对照组采用后腹腔镜肾囊肿去顶治疗。记录两组手术时间、术中出血量、术后并发症、住院时间以及术后复发的情况。结果:两组患者手术用时、术中出血量、术后住院时间比较,差异无统计学意义(P〉0.05);对照组术后并发症及复发率明显高于对照组,差异有统计学意义(P〈0.05)。结论:后腹腔镜去项减压术实施带蒂脂肪瓣填塞手术方法治疗肾囊肿,可以有效降低术后并发症及降低术后复发率。 Objective: To discuss the clinical effect of pedicled fat flap plugging on retroperitoneal laparoscopic unroofed decompression of renal cysts. Methods: 72 patients undergoing surgical treatment of renal cysts in our hospital were randomized into the treatment group and control group with 36 cases each. Patients in the treatment group adopted pedicled fat plugging by retroperitoneal laparoscopic unroofed decompression, while patients in the control group adopted laparoscopy to treat renal cysts. The operation time, intraoperative blood loss, postoperative complications, hospital stay and postoperative relapse in both groups were recorded. Results: There were no statistical differences as for the operation time,intraoperative blood loss and hospital stays for both groups (P〉0.05) ; but the occurrence of complications and relapse rate of the control group after operations were significantly higher than those of the treatment group, which were of statistical differences (P〈0.05). Conclusion: Performing pedicled fat flap plugging by retroperitoneal laparoscopic unroofed decompression of renal cysts may effectively reduce the occurrence of complications and the postopenative relapse rate.
作者 罗玮 叶剑锋 LUO Wei, YE Jianfeng( The People' s Hospital of Dazhi, Dazhi 435100, China)
机构地区 大冶市人民医院
出处 《华夏医学》 CAS 2018年第3期46-48,共3页 Acta Medicinae Sinica
关键词 肾囊肿 腹腔镜 去顶减压 带蒂脂肪瓣填塞 renal cysts laparoscope unroofed decompression pedicled fat flap plugging
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