中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2012年
17期
2605-2606
,共2页
多囊肾%后入路%腹腔镜
多囊腎%後入路%腹腔鏡
다낭신%후입로%복강경
Polycystic kidney%Posterior approach%Laparoscopic
目的 探讨后腹腔镜下超声辅助定位治疗多囊肾的临床价值.方法 回顾性分析327例多囊肾患者手术情况,其中行后腹腔镜下超声辅助定位治疗肾囊肿239例为超声介入组,行后腹腔镜下介入但术中未使用超声辅助定位手术患者88例为非超声介入组.结果 超声介入组的手术时间为(3.61 ±0.49)h,长于非超声介入组的(3.27 ±0.71)h(t =4.89,P＜0.05)；术后留置引流管时间、术后肾脏长度分别为(2.24±0.58)d、(12.01±4.25)cm,均短于非超声介入组的(3.59±2.27)d、(13.39 ±5.21)cm(t=8.49、2.45,均P＜0.05)；超声介入组术后＞l cm囊肿残留的数量明显少于非超声介入组(x2=10.36,P＜0.05).结论 后腹腔镜下超声辅助定位手术治疗治疗多囊肾,超声定位更能确定深部囊肿位置,可以明显减少术后患者囊肿残留发生概率,还可避免发生较大的血管及肾脏集合系统的损伤,使手术安全性得到提高.
目的 探討後腹腔鏡下超聲輔助定位治療多囊腎的臨床價值.方法 迴顧性分析327例多囊腎患者手術情況,其中行後腹腔鏡下超聲輔助定位治療腎囊腫239例為超聲介入組,行後腹腔鏡下介入但術中未使用超聲輔助定位手術患者88例為非超聲介入組.結果 超聲介入組的手術時間為(3.61 ±0.49)h,長于非超聲介入組的(3.27 ±0.71)h(t =4.89,P＜0.05)；術後留置引流管時間、術後腎髒長度分彆為(2.24±0.58)d、(12.01±4.25)cm,均短于非超聲介入組的(3.59±2.27)d、(13.39 ±5.21)cm(t=8.49、2.45,均P＜0.05)；超聲介入組術後＞l cm囊腫殘留的數量明顯少于非超聲介入組(x2=10.36,P＜0.05).結論 後腹腔鏡下超聲輔助定位手術治療治療多囊腎,超聲定位更能確定深部囊腫位置,可以明顯減少術後患者囊腫殘留髮生概率,還可避免髮生較大的血管及腎髒集閤繫統的損傷,使手術安全性得到提高.
목적 탐토후복강경하초성보조정위치료다낭신적림상개치.방법 회고성분석327례다낭신환자수술정황,기중행후복강경하초성보조정위치료신낭종239례위초성개입조,행후복강경하개입단술중미사용초성보조정위수술환자88례위비초성개입조.결과 초성개입조적수술시간위(3.61 ±0.49)h,장우비초성개입조적(3.27 ±0.71)h(t =4.89,P＜0.05)；술후류치인류관시간、술후신장장도분별위(2.24±0.58)d、(12.01±4.25)cm,균단우비초성개입조적(3.59±2.27)d、(13.39 ±5.21)cm(t=8.49、2.45,균P＜0.05)；초성개입조술후＞l cm낭종잔류적수량명현소우비초성개입조(x2=10.36,P＜0.05).결론 후복강경하초성보조정위수술치료치료다낭신,초성정위경능학정심부낭종위치,가이명현감소술후환자낭종잔류발생개솔,환가피면발생교대적혈관급신장집합계통적손상,사수술안전성득도제고.
Objective To explore the clinical value of retropentoneal laparoscopic interventon ultrasound aided positioning in the treatment of adult renal cyst.Methods The operating information of 327 patients with adult renal cyst was analyzed retrospectively,in which 239 cases applied the retroperitoneal laparoscopic intervention ultrasound aided positioning treatment( interventional ultrasound group),88 cases applied retroperitoneal laparoscopic intervention without ultrasound assisted positioning operation treatment ( non interventional ultrasound group).Results The operation time of the interventional ultrasound group was (3.61 ± 0.49) h,and was longer than that of the non interventionul ultrasound group[ ( 3.27 ± 0.71 ) h ] ( t =4.89,P ＜ 0.05 ).The postoperative indwelling drainage tube time,postoperative renal length of the interventional ultrasound group was (2.24 ± 0.58 ) d,( 12.01 ± 4.25 ) cm respectively,and was shorter than that of the non interventional ultrasound group[ (3.59 ±2.27 ) d、( 13.39 ±5.21 )cm ] ( t =8.49,2.45,all P ＜ 0.05 ).A postoperative ＞ 1 cm cyst residual amount of ultrasound in the intervention group was significantly less than the non-ultrasound in the intervention group (x2 =10.36,P ＜ 0.05 ).Conclusion The ultrasound assisted positioning operation could determine deep cysts position better,so the retroperitoneal laparoscopic intervention ultrasound aided positioning in the treatment of adult renal cyst could reduce cyst of residual risk,and also prevent serious vascular and renal collecting system injury and improve the operation safety.
