【摘要】 目的 探讨经皮穿刺硬化术和腹腔镜去顶术在单纯性肾囊肿治疗中的价值。 方法 45例单纯性肾囊肿，采用经皮穿刺硬化24例，腹腔镜去顶术21例。对临床疗效、术后恢复及费用进行对比研究。 结果 经皮穿刺硬化和腹腔镜去顶减压术两组疗效比较差别无显著性，P>0.05(P=0.432)。穿刺硬化组无术后并发症，腹腔镜组术后并发症发生率为14%(3/21)，穿刺硬化组的平均住院时间为10d，术后住院时间为3d，腹腔镜组为16d和10d，两组总住院时间和术后住院时间比较差异均有非常显著性，P均<0.01(P值分别为0.003和0.001)。同年两组的住院及手术费用比较差异也有显著性，穿刺硬化组各项费用明显较低。 结论 经皮穿刺硬化和腹腔镜去顶术治疗单纯性肾囊肿对比，疗效相似，但前者创伤小、痛苦小、恢复快、并发症少、费用低、可以门诊施治，应作为单纯性肾囊肿的首选治疗方法。

    关键词 肾囊肿 B超 经皮穿刺 腹腔镜

    A comparison of percutaneous sclerotherapy guided by ultrasound withlaparoscopic de-roofing in the management of simple renal cysts

    Ruan Yashi，Jing Hao

    Department of Urology，The Third Affiliated Hospital of Suzhou University，Changzhou213003.

    【Abstract】 Objective To evaluate percutaneous sclerotherapy and laparoscopic de-roofing in the treatment of simple renal cysts.Methods 45patients with simple renal cysts were operated using sclerotherapy in24cases and la-paroscopy in21cases.The clinical effectiveness，post-operative recovery and expenditure of these two groups were com-pared.Results There was no difference between sclerotherapy and laparoscopic de-roofing(P>0.05 ......