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经皮肾镜肾囊肿去顶减压术30例临床研究 被引量:5

Retroperitoneoscopic unroofing and decompression with PCNL in the treatment of 30 cases of renal cysts
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摘要 目的:探讨经皮肾镜下肾囊肿去顶减压手术的可行性和安全性。方法:2011年11月~2013年12月,对30例就诊的单纯肾囊肿患者行经皮肾镜下肾囊肿去顶减压术,回顾性分析患者的临床信息,手术经过、手术时间、出血量、围手术期并发症、围手术期电解质变化、冲洗液吸收情况及预后。结果:30例患者手术均获得成功,无中转开放或腹腔镜手术,平均手术时间25 min,术中平均出血5 ml,术后无继发出血、感染及漏尿等并发症发生,围手术期未发生电解质紊乱,无水中毒发生。术后随访6~12个月,无囊肿复发。结论:采用经皮肾镜肾囊肿去顶减压术治疗单纯肾囊肿,具有创伤小、恢复快、安全性高等优点,值得临床推广。 Objective:To evaluate the clinical value of retroperitoneoscopic unroofing and decompression with percutaneous nephrolithotomy(PCNL) for renal cysts.Methods:Retroperitoneoscopic unroofing and decompression in combination with PCNL were used to treat 30 cases of renal cysts in our hospital.The successful rate,the average operation time,the perioperative bleeding volume,postoperative complications and the relapse of renal cysts were retrospectively analyzed.Results:All operations were successful performed,and no patients were converted to the open surgery.The average operation time was 25 min,and the bleeding volume was 5 mL.No hemorrhage,malignant hypertension and infection and electretyte disturbance after operation,and water signs of poisoning occurred.There was no renal cyst recurrence during a follow-up period of 6-12 months.Conclusions:The retroperitoneoscopic unroofing and decompression with PCNL for renal cysts is safe,effective and feasible,and is worthy to be recommended in clinical practice.
作者 夏志国 张保 司马晋 刘伟刚 高强 杨林 Xia Zhiguo;Zhang Bao;Sima Jin;Liu Weigang;Gao Qiang;Yang Lin;Department of Urology,Aerospace Center Hospital of Haidian;
出处 《微创泌尿外科杂志》 2015年第1期34-36,共3页 Journal of Minimally Invasive Urology
关键词 肾囊肿 经皮肾镜 肾囊肿去顶减压术 renal cysts nephrolithiasis retroperitoneoscopy,percutaneous
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