中华实验外科杂志
中華實驗外科雜誌
중화실험외과잡지
CHINESE JOURNAL OF EXPERIMENTAL SURGERY
2014年
4期
892-893
,共2页
朱伟%朱庆国%曾甫清%高祥勋%何延瑜
硃偉%硃慶國%曾甫清%高祥勛%何延瑜
주위%주경국%증보청%고상훈%하연유
激光手术%腹膜后腹腔镜%肾盂旁囊肿
激光手術%腹膜後腹腔鏡%腎盂徬囊腫
격광수술%복막후복강경%신우방낭종
Laser surgery%Retroperitoneoscopy%Peripelvic cyst
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疗效,并与后腹腔镜肾盂旁囊肿去顶术比较.方法 治疗肾盂旁囊肿患者48例,随机分成两组,分别行输尿管镜钬激光切开内引流术(A组,25例)和后腹腔镜肾盂旁囊肿去顶术(B组,23例).比较两组手术时间、术中出血量、肠道恢复时间及住院时间等.结果 A、B两组的手术时间分别为(24.12±4.51)和(69.48±14.21) min,差异有统计学意义(P＜0.05);术中出血量分别为(10.24±3.38)和(49.35±12.18) ml,差异有统计学意义(P＜0.05);肠道恢复时间分别为(13.24±2.39)和(31.43±6.99)h,差异有统计学意义(P＜0.05);住院时间分别为(3.24±1.42)和(6.04±1.29)d,差异有统计学意义(P＜0.05).48例患者术后恢复顺利.随访6～24个月,A、B两组各有2例复发,差异无统计学意义(P＞0.05).结论 与后腹腔镜囊肿去顶术比较,经尿道输尿管镜下钬激光切开内引流术治疗肾盂旁囊肿具有创伤小、恢复快等优点.
目的 探討輸尿管鏡鈥激光切開內引流術治療腎盂徬囊腫的療效,併與後腹腔鏡腎盂徬囊腫去頂術比較.方法 治療腎盂徬囊腫患者48例,隨機分成兩組,分彆行輸尿管鏡鈥激光切開內引流術(A組,25例)和後腹腔鏡腎盂徬囊腫去頂術(B組,23例).比較兩組手術時間、術中齣血量、腸道恢複時間及住院時間等.結果 A、B兩組的手術時間分彆為(24.12±4.51)和(69.48±14.21) min,差異有統計學意義(P＜0.05);術中齣血量分彆為(10.24±3.38)和(49.35±12.18) ml,差異有統計學意義(P＜0.05);腸道恢複時間分彆為(13.24±2.39)和(31.43±6.99)h,差異有統計學意義(P＜0.05);住院時間分彆為(3.24±1.42)和(6.04±1.29)d,差異有統計學意義(P＜0.05).48例患者術後恢複順利.隨訪6～24箇月,A、B兩組各有2例複髮,差異無統計學意義(P＞0.05).結論 與後腹腔鏡囊腫去頂術比較,經尿道輸尿管鏡下鈥激光切開內引流術治療腎盂徬囊腫具有創傷小、恢複快等優點.
목적 탐토수뇨관경화격광절개내인류술치료신우방낭종적료효,병여후복강경신우방낭종거정술비교.방법 치료신우방낭종환자48례,수궤분성량조,분별행수뇨관경화격광절개내인류술(A조,25례)화후복강경신우방낭종거정술(B조,23례).비교량조수술시간、술중출혈량、장도회복시간급주원시간등.결과 A、B량조적수술시간분별위(24.12±4.51)화(69.48±14.21) min,차이유통계학의의(P＜0.05);술중출혈량분별위(10.24±3.38)화(49.35±12.18) ml,차이유통계학의의(P＜0.05);장도회복시간분별위(13.24±2.39)화(31.43±6.99)h,차이유통계학의의(P＜0.05);주원시간분별위(3.24±1.42)화(6.04±1.29)d,차이유통계학의의(P＜0.05).48례환자술후회복순리.수방6～24개월,A、B량조각유2례복발,차이무통계학의의(P＞0.05).결론 여후복강경낭종거정술비교,경뇨도수뇨관경하화격광절개내인류술치료신우방낭종구유창상소、회복쾌등우점.
Objective To evaluate the clinical efficacy of holmium laser ureteroscopic intrapelvic drainage for the treatment of peripelvic cyst and to compare this technique with retroperitoneal laparoscopic renal cyst unroofing.Methods From January 2009 to December 2012,a total of 48 patients with peripelvic cysts were treated.The patients were divided into two groups randomly.The patients in group A were treated by Holmium laser ureteroscopic endo-decortication (n =25),and those in group B by retroperitoneal laparoscopic unroofing (n =23).The operative time,intraoperative blood loss,success rate,postoperative intestinal recovery and hospital stay were compared between the 2 groups.The recurrence rate was compared during the follow-up period.Results In groups A and B,the operative time was (24.12 ± 4.51) vs.(69.48 ± 14.21) min (P ＜0.05); intraoperative blood loss was (10.24 ± 3.38) vs.(49.35 ± 12.18) ml (P ＜ 0.05) ; intestinal recovery time was (13.24 ± 2.39) vs.(31.43 ± 6.99) h (P ＜ 0.05) ; hospital stay was (3.24 ± 1.42) vs.(6.04 ± 1.29) days (P ＜0.05),respectively.All the patients recovered smoothly.During the follow-up period of 6-24 months,2 cases had recurrence in each of both groups (P ＞ 0.05).Conclusion Holmium laser ureteroscopic intrapelvic drainage for the treatment of peripelvlc cyst has the advantage of mini-invasion and rapid recovery in comparison with retroperitoneal laparoscopic unroofing.
