CAJ | 학술논문

目的：探讨腹膜后腹腔镜单纯性肾囊肿去顶减压手术的方法和治疗效果，总结此手术方式的临床优势。方法选择2009年2月-2013年2月我院收治的单纯性肾囊肿患者90例为研究对象，随机分为两组。对照组患者给予开放性肾囊肿去顶减压手术，试验组患者给予腹膜后腹腔镜单纯性肾囊肿去顶减压手术，对比观察两组患者的手术情况和疗效。结果试验组患者的手术时间为(46.25±12.01)min、患者术中出血量为(33.63±5.96)ml，疼痛感评分为(3.65±1.02)分，患者手术后住院时间为(5.99±1.87)天，组间比较差异明显，P＜0.05，差异有统计学意义。试验组并发症与对照组比较，差异无统计学意义。结论使用腹膜后腹腔镜单纯性肾囊肿去顶减压手术治疗可以减少对患者的创伤，是一种安全有效的微创方法。
목적：탐토복막후복강경단순성신낭종거정감압수술적방법화치료효과，총결차수술방식적림상우세。방법선택2009년2월-2013년2월아원수치적단순성신낭종환자90례위연구대상，수궤분위량조。대조조환자급여개방성신낭종거정감압수술，시험조환자급여복막후복강경단순성신낭종거정감압수술，대비관찰량조환자적수술정황화료효。결과시험조환자적수술시간위(46.25±12.01)min、환자술중출혈량위(33.63±5.96)ml，동통감평분위(3.65±1.02)분，환자수술후주원시간위(5.99±1.87)천，조간비교차이명현，P＜0.05，차이유통계학의의。시험조병발증여대조조비교，차이무통계학의의。결론사용복막후복강경단순성신낭종거정감압수술치료가이감소대환자적창상，시일충안전유효적미창방법。
Objective To investigate the methods and effects of retroperitoneal laparoscopic simple renal cyst decortication operation, summarized the clinical advantages of this operation. Methods 90 patients from february 2009 to february 2013 in our hospital with simple renal cysts were randomly divided into two groups. The control group were treated with open renal cyst decortication operation, the experimental group were treated with retroperitoneal laparoscopic simple renal cyst decortication operation, the operation situation and the effects were compared, Results Experimental operation time of the patients was (46.25±12.01) min, bleeding amount of patients is (33.63±5.96)ml, pain score points is(3.65±1.02), after the operation, length of hospital stay is (5.99±1.87) d, the difference was statistically signiifcant. signiifcant differences between the two groups, P<0.05, the difference was statistically signiifcant. The differences about complications in the two groups have no statistic signiifcance. Conclusion Laparoscopic retroperitoneal simple renal cyst decortication surgery can reduce patient trauma, is a safe and effective minimally invasive approach.