医学美学美容（中旬刊）
醫學美學美容（中旬刊）
의학미학미용（중순간）
MEDICAL AESTHETICS AND COSMETOLOGY
2013年
9期
59-60
,共2页
经后腹腔%腹腔镜术%肾囊肿%肾囊肿去顶术
經後腹腔%腹腔鏡術%腎囊腫%腎囊腫去頂術
경후복강%복강경술%신낭종%신낭종거정술
retroperitoneal%laparoscopy%renal cyst%Unroofing of cyst of kidney
目的：研究观察采用后腹腔镜肾囊肿去顶术治疗肾囊肿的临床疗效。方法：选取2011年3月至2012年3月期间在我院采取后腹腔镜肾囊肿去顶术治疗的36例肾囊肿患者，将其随机分为观察组与对照组，每组各18例。对照组患者采用开放肾囊肿去顶术进行治疗，而观察组患者则采用后腹腔镜肾囊肿去顶术进行治疗。记录两组患者的术中出血量、手术时间、引流管拔除时间、肠蠕动恢复时间、术后下床时间以及术后住院天数等指标，并进行对比。结果：⑴两组患者的引流管拔除时间比较，差异无统计学意义（P＞0．05）；两组患者的肠蠕动恢复时间比较，差异显著有统计学意义（P＜0．05）；两组患者的术中出血量、手术时间、术后下床时间以及术后住院天数等指标比较，差异显著均有统计学意义（P均＜0．01）。⑵观察组患者无一例有并发症发生，而对照组18例患者中有3例在手术过程中出现胸膜损伤现象，2例在手术结束后因脂肪液化或者感染导致伤口愈合不佳。⑶对两组患者均进行2-12个月的随访，均未有一例患者出现复发现象。结论：采用后腹腔镜肾囊肿去顶术治疗肾囊肿，具有术中出血量少，手术时间以及术后下床时间、住院时间短等优势，是一种科学、有效、安全的治疗方法，值得临床推广应用。
目的：研究觀察採用後腹腔鏡腎囊腫去頂術治療腎囊腫的臨床療效。方法：選取2011年3月至2012年3月期間在我院採取後腹腔鏡腎囊腫去頂術治療的36例腎囊腫患者，將其隨機分為觀察組與對照組，每組各18例。對照組患者採用開放腎囊腫去頂術進行治療，而觀察組患者則採用後腹腔鏡腎囊腫去頂術進行治療。記錄兩組患者的術中齣血量、手術時間、引流管拔除時間、腸蠕動恢複時間、術後下床時間以及術後住院天數等指標，併進行對比。結果：⑴兩組患者的引流管拔除時間比較，差異無統計學意義（P＞0．05）；兩組患者的腸蠕動恢複時間比較，差異顯著有統計學意義（P＜0．05）；兩組患者的術中齣血量、手術時間、術後下床時間以及術後住院天數等指標比較，差異顯著均有統計學意義（P均＜0．01）。⑵觀察組患者無一例有併髮癥髮生，而對照組18例患者中有3例在手術過程中齣現胸膜損傷現象，2例在手術結束後因脂肪液化或者感染導緻傷口愈閤不佳。⑶對兩組患者均進行2-12箇月的隨訪，均未有一例患者齣現複髮現象。結論：採用後腹腔鏡腎囊腫去頂術治療腎囊腫，具有術中齣血量少，手術時間以及術後下床時間、住院時間短等優勢，是一種科學、有效、安全的治療方法，值得臨床推廣應用。
목적：연구관찰채용후복강경신낭종거정술치료신낭종적림상료효。방법：선취2011년3월지2012년3월기간재아원채취후복강경신낭종거정술치료적36례신낭종환자，장기수궤분위관찰조여대조조，매조각18례。대조조환자채용개방신낭종거정술진행치료，이관찰조환자칙채용후복강경신낭종거정술진행치료。기록량조환자적술중출혈량、수술시간、인류관발제시간、장연동회복시간、술후하상시간이급술후주원천수등지표，병진행대비。결과：⑴량조환자적인류관발제시간비교，차이무통계학의의（P＞0．05）；량조환자적장연동회복시간비교，차이현저유통계학의의（P＜0．05）；량조환자적술중출혈량、수술시간、술후하상시간이급술후주원천수등지표비교，차이현저균유통계학의의（P균＜0．01）。⑵관찰조환자무일례유병발증발생，이대조조18례환자중유3례재수술과정중출현흉막손상현상，2례재수술결속후인지방액화혹자감염도치상구유합불가。⑶대량조환자균진행2-12개월적수방，균미유일례환자출현복발현상。결론：채용후복강경신낭종거정술치료신낭종，구유술중출혈량소，수술시간이급술후하상시간、주원시간단등우세，시일충과학、유효、안전적치료방법，치득림상추엄응용。
Objective :study of retroperitoneoscopic laparoscopic renal cyst unroofing for renal cyst .Method :36 cases of renal cyst patients during 2011 March to 2012 March were selected by retroperitoneoscopic unroofing of renal cyst treated in our hospital ,which were randomly divided into observation group and control group ,each group of 18 cases .The control group were treated by open renal cyst unroofing for treatment ,while the patients in the observation group was retroperitoneoscopic unroofing of renal cyst treatment .Record two groups of pa-tients with intraoperative bleeding volume ,operation time ,hospitalization time after drainage indexes and operation tube removal time ,recov-ery time of intestinal peristalsis ,postoperative ambulation ,and carries on the contrast .Results :⑴ The drainage tube removal time of two groups of patients ,no significant difference (P > 0 .05);compared two groups of patients with recovery time of intestinal peristalsis ,signifi-cant difference was statistically significant (P < 0 .05);the two groups of patients with perioperative bleeding ,operation time ,postoperative ambulation time and postoperative hospital stay .Index comparison ,significant differences were statistically significant (P < 0 .01) .⑵ The patients in the observation group with no complications ,and 18 patients in the control group with 3 cases of pleural injury during the opera-tion ,2 cases at the end of the operation or after fat liquefaction infection can lead to poor wound healing .⑶ The two groups of patients were followed up for 2 -12 months ,no recurrence was observed phenomenon .Conclusions :Retroperitoneoscopic renal cyst unroofing for renal cyst ,has less bleeding ,operation time and postoperative time ,short hospitalization time and other advantages ,is a therapeutic method of scien-tific ,effective ,safe ,worthy of clinical application .
