CAJ | 학술논문

目的探讨肾钙乳症微创手术治疗的疗效.方法回顾性分析洛阳市中心医院2005年至2013年收治的7例确诊肾钙乳症患者,其中囊肿型3例,积水型4例,均行经皮肾微造瘘治疗,囊肿型患者术后注入硬化剂.结果 7例手术患者术后近期均恢复良好,其中1例术后出血及2例腰痛患者经对症治疗后均恢复良好.1例囊肿型肾钙乳患者随访2年肾囊肿复发,经再次行彩超引导穿刺治疗后治愈,1例合并肾盂输尿管连接部狭窄(UP-JO)积水患者近期效果良好,远期效果尚待观察.结论经皮肾微造瘘技术是治疗肾钙乳症的一种可行的微创治疗方法,该手术创伤小,疗效确切,对肾功能影响小,明显优于传统的开放手术.
목적 탐토신개유증미창수술치료적료효.방법 회고성분석락양시중심의원2005년지2013년수치적7례학진신개유증환자,기중낭종형3례,적수형4례,균행경피신미조루치료,낭종형환자술후주입경화제.결과 7례수술환자술후근기균회복량호,기중1례술후출혈급2례요통환자경대증치료후균회복량호.1례낭종형신개유환자수방2년신낭종복발,경재차행채초인도천자치료후치유,1례합병신우수뇨관련접부협착(UP-JO)적수환자근기효과량호,원기효과상대관찰.결론 경피신미조루기술시치료신개유증적일충가행적미창치료방법,해수술창상소,료효학절,대신공능영향소,명현우우전통적개방수술.
Objective To investigate the effect of minimally invasive surgery on renal milk of calcium.Methods The clinical data of 7 patients diagnosed with renal calcium milk in Luoyang central hospital during 2005 to 2013 were retrospective analyzed,with cysts in 3 cases,stagnant water in 4 cases,who all received minimally invasive surgery treatment,patients with cysts received sclerotherapy after surgery.Results Seven operation patients recovered well after operation,1 patient with postoperative bleeding and 2 patients with low back pain recovered well after symptomatic treatment.One patient with cystic renal milk of calcium renal cyst recurrence after 2 years followed-up,and cured after given the color Doppler ultrasound guided puncture and therapy again.One patient with UPJO combined with hydronephrosis had good short-term effect,but the long-term effect remains to be seen.Conclusions Minimally invasive percutaneous nephrostomy technology is a viable treatment for renal milk of calcium,the method is efficient with little surgical trauma,less effect on renal function and significantly better than the traditional open surgery.