CAJ | 학술논문

目的观察经皮肾囊肿穿刺2 μm激光切开内引流治疗肾盂旁囊肿的手术方法、疗效及其安全性.方法采用经皮肾技术穿刺肾盂旁囊肿,通过输尿管导管向肾盂内灌注亚甲蓝溶液,直视下用2μm激光将囊肿与肾盂相邻薄弱无血管处切开1.5～4.0 cm,使之与肾集合系统相通,并置双J管内引流.结果 31例患者手术均顺利完成,手术时间25～ 120 min,无严重出血、脏器损伤等并发症发生.术后随访3 ～ 36个月,平均12个月,18例囊肿消失,13例可见囊肿与集合系统相通,囊肿明显缩小,未见囊肿复发.结论采用经皮肾囊肿穿刺2μm激光切开内引流术治疗肾盂旁囊肿,疗效确切,创伤小,安全性高.
목적 관찰경피신낭종천자2 μm격광절개내인류치료신우방낭종적수술방법、료효급기안전성.방법 채용경피신기술천자신우방낭종,통과수뇨관도관향신우내관주아갑람용액,직시하용2μm격광장낭종여신우상린박약무혈관처절개1.5～4.0 cm,사지여신집합계통상통,병치쌍J관내인류.결과 31례환자수술균순리완성,수술시간25～ 120 min,무엄중출혈、장기손상등병발증발생.술후수방3 ～ 36개월,평균12개월,18례낭종소실,13례가견낭종여집합계통상통,낭종명현축소,미견낭종복발.결론 채용경피신낭종천자2μm격광절개내인류술치료신우방낭종,료효학절,창상소,안전성고.
Objective To explore the surgical approaches,efficacy and safety of percutaneous nephroscopic 2 μm laser incision and drainage in the treatment of peripelvic renal cysts.Methods The peripelvic renal cysts were punctured percutaneously.A 1.5-4.0 cm incision was made at thin avascular area between cyst and pelvis by the 2 μm laser to connect the cyst with the renal collecting system with the help of injecting methylene blue solution into renal pelvis through ureteral catheter.The double-J tube was placed for drainage.Results The operations were successful in all cases.There were 16 males and 15 females with a mean age of 49 years old.The operative durations ranged from 25 to 120 minutes.And no severe complications occurred.The patients were followed up for an average of 12 months (range: 3 -36) Among them,cysts disappeared in 18 cases and diminished over 1/3 in 13 cases.There was no recurrence of peripelvic renal cyst.Conclusion Percutaneous nephroscopic 2-μm laser incision and drainage for peripelvic renal cyst is safe,effective and mini-invasive.