CAJ | 학술논문

目的探讨输尿管镜钬激光切开内引流术治疗肾盂旁囊肿的手术方法、疗效和安全性.方法自2005年9月～2011年11月收治的26例患者,共29侧挤压肾盂或肾盏且皮质较厚的肾盂旁囊肿,其直径5 ～ 9cm,腰腹部不适9例,血尿5例,局部肾盏积水3例,合并高血压3例,泌尿系感染3例,合并结石2例.行输尿管镜钬激光肾盂旁囊肿内引流术,收集病例的临床资料.结果其中24例患者成功,手术时间(20 ～ 50)min,未发现尿外渗及其他明显并发症,2例手术中无法明确囊肿位置,改行经皮囊肿穿刺术.通过复查IVP、B超或CT,随访(6～18)个月,平均11.5个月.治愈19侧,有效8侧,囊腔均与肾盂相通.结论对此类型肾盂旁囊肿,行输尿管镜钬激光内引流术操作简单,创伤小、安全、有效.
목적 탐토수뇨관경화격광절개내인류술치료신우방낭종적수술방법、료효화안전성.방법 자2005년9월～2011년11월수치적26례환자,공29측제압신우혹신잔차피질교후적신우방낭종,기직경5 ～ 9cm,요복부불괄9례,혈뇨5례,국부신잔적수3례,합병고혈압3례,비뇨계감염3례,합병결석2례.행수뇨관경화격광신우방낭종내인류술,수집병례적림상자료.결과 기중24례환자성공,수술시간(20 ～ 50)min,미발현뇨외삼급기타명현병발증,2례수술중무법명학낭종위치,개행경피낭종천자술.통과복사IVP、B초혹CT,수방(6～18)개월,평균11.5개월.치유19측,유효8측,낭강균여신우상통.결론 대차류형신우방낭종,행수뇨관경화격광내인류술조작간단,창상소、안전、유효.
Objectives To discuss the surgical approaches,efficacy and safety of Holmium laser ureteroscopic intrapelvic drainage in the treatment of parapelvic cyst.Methods 26 patients(29 sides)were brought into the investigation since September 2005 to November 2011.The parapelvic cyst had squeezed the renal pelvis and had a thick cortex.The diameter(5 ～ 9)cm,waist and abdomen discomfort 9 cases,hematuria 5 cases,hydronephrosis 3 cases,hypertension 3 cases,urinary tract infection 3 cases,2 cases with stones.By Holmium laser parapelvic cyst drainage,we collected the clinical information.Results 24 cases had succeed.Operative time(20 ～50)min,urine extravasation and surgical complications were not found.2 cases which could not clear cyst location failed,then diverted to percutaneous cyst puncture.Review of Intravenous pyelogram(IVP),B ultrasound or CT,follow-up(6～18)months showed 19 sides cured,8 sides improved and the cavities were connected with the pelvis.Conclusions For this type of parapelvic cyst,holmium: YAG laser ureteroscopic intrapelvic drainage is a simple,minimally invasive,safe and effective method.