CAJ | 학술논문

目的探讨经输尿管镜下囊肿内切开引流术治疗肾囊肿的手术疗效和安全性.方法肾囊肿患者30例.其中肾盂旁囊肿11例,单发囊肿15例,多发囊肿4例.既往肾囊肿手术史者3例.囊肿直径平均6.9(4.0～11.2)cm.影像学检查均可见囊肿对集合系统压迫形成的压迹.使用输尿管镜经尿道顺行至肾盂径路,观察肾囊肿对集合系统的压迫情况,直视下用电刀在囊肿压迫肾盂明显处位置做内切开.使其与集合系统贯通,并置双J管内引流.结果 30例手术均一次成功.囊肿处理时间平均31(15～45)min.手术时间平均61(30～120)min,住院时间平均6.5(4～7)d.无严重并发症发生.术后12 d实验室检查患者蛋白尿消失.平均随访6(3～9)个月,其中囊肿消失24例,明显缩小4例,复发2例.结论经尿道输尿管镜技术处理肾囊肿具有安全、微创、近期疗效确切等优点.
목적 탐토경수뇨관경하낭종내절개인류술치료신낭종적수술료효화안전성.방법 신낭종환자30례.기중신우방낭종11례,단발낭종15례,다발낭종4례.기왕신낭종수술사자3례.낭종직경평균6.9(4.0～11.2)cm.영상학검사균가견낭종대집합계통압박형성적압적.사용수뇨관경경뇨도순행지신우경로,관찰신낭종대집합계통적압박정황,직시하용전도재낭종압박신우명현처위치주내절개.사기여집합계통관통,병치쌍J관내인류.결과 30례수술균일차성공.낭종처리시간평균31(15～45)min.수술시간평균61(30～120)min,주원시간평균6.5(4～7)d.무엄중병발증발생.술후12 d실험실검사환자단백뇨소실.평균수방6(3～9)개월,기중낭종소실24례,명현축소4례,복발2례.결론 경뇨도수뇨관경기술처리신낭종구유안전、미창、근기료효학절등우점.
Objective To evaluate the efficacy and safety of ureteroscopic endo-incision and drainage in the treatment of renal cysts.Methods Thirty cases(19 females and 11 males)of renal cysts(1 1 parapelvie cysts,15 simple cysts.and 4 multiple cysts)were treated with ureteroscopic endo-incision and drainage.The renal cysts were located in renal pelvis,and opened and decompressed by electrotme with ureteroscope.Double J stent was placed afterwards.Urinary and blood biochemistry were tested post-operatively.Results All the operations were successfully completed with no severe complication.The cyst managing time ranged from 15 tO 45 min.Urinary biochemistry(urinary protein and glucose)turned normal 1 2 days after the surgery.Patients were followed up for 3 to 9 months.Renal cysts disappeared in 24 cases,diminished in 4 cases,and recurred in 2 cases.Conclusion Application of ureteroscopic technique in the treatment of renal cyst is safe,effective and minimally invasive.