CAJ | 학술논문

目的：研究后腹腔镜下肾囊肿去顶减压术的临床效果。方法：收集我院泌尿科2011年1月到2014年3月住院的肾囊肿患者50例，按照随机数字表法分为试验组和对照组，每组各25例，试验组应用去顶减压术，对照组应用传统的开放性手术，观察两组的治疗效果。结果：与对照组相比，试验组中手术时间比对照组手术时间长，术中出血量、住院时间、术后胃肠功能恢复时间以及术后下床活动时间都比对照组短或者少，其中术中出血量、住院时间以及术后胃肠功能恢复时间在两组之间的差异具有统计学意义（P＜0．05）；两组主要的不良反应有术后感染、胸膜炎以及术后复发等，经过统计学检验两组之间不良反应发生率之间的差别无统计学意义（P＞0．05）。结论：后腹腔镜下应用去顶减压术治疗肾囊肿对患者的创伤小，术中出血量少，疗效明显，恢复快等，可以作为临床上治疗肾囊肿择优的方法。
목적：연구후복강경하신낭종거정감압술적림상효과。방법：수집아원비뇨과2011년1월도2014년3월주원적신낭종환자50례，안조수궤수자표법분위시험조화대조조，매조각25례，시험조응용거정감압술，대조조응용전통적개방성수술，관찰량조적치료효과。결과：여대조조상비，시험조중수술시간비대조조수술시간장，술중출혈량、주원시간、술후위장공능회복시간이급술후하상활동시간도비대조조단혹자소，기중술중출혈량、주원시간이급술후위장공능회복시간재량조지간적차이구유통계학의의（P＜0．05）；량조주요적불량반응유술후감염、흉막염이급술후복발등，경과통계학검험량조지간불량반응발생솔지간적차별무통계학의의（P＞0．05）。결론：후복강경하응용거정감압술치료신낭종대환자적창상소，술중출혈량소，료효명현，회복쾌등，가이작위림상상치료신낭종택우적방법。
objective :to study the laparoscopic renal cyst unroofing decompression after clinical effect . Methods :to collect the hospital urology hospitalized from January 2011 to March 2011 in 50 patients with renal cyst , according to random number table method was divided into experimental group and the control group ,each group of 25 cases ,experimental group applied to decompression ,the control group used the traditional open surgery ,observe the therapeutic effect of two groups .Results :compared with control group ,experimental group in the operation time is longer than the control operation time ,intraoperative blood loss ,hospital stay ,postoperative gastrointestinal function recovery time and postoperative bed activity time is shorter than the control group or less ,the intraoperative blood loss ,hospital stay and postoperative gastrointestinal function recovery time in the difference between the two groups have statistical significance (P < 0 .05) ;Two groups of major adverse reactions such as postoperative infec‐tion ,pleurisy and postoperative recurrence ,through statistical inspection incidence of adverse reactions between the difference between two groups has no statistical significance (P > 0 .05) .Conclusion :laparoscopic application to top decompression for the treatment of patients with renal cyst on small trauma ,less intraoperative blood loss ,obvious curative effect ,rapid recovery ,eTc .,can be used as a clinical treatment for renal cyst optimal method .