经腹膜后腹腔镜手术治疗肾囊肿的临床疗效观察(1)
摘要：目的 分析腹腔镜治疗肾囊肿的手术配合方法和临床治疗效果。方法 选取我院2015年7月～2017年2月收治的36例肾囊肿患者，将所有患者按照入院顺序进行分组。其中，常规组(n=18)采用开放性肾囊肿去顶术治疗，研究组(n=18)采用经腹膜后腹腔镜手术治疗，对比两组患者的临床治疗效果和并发症的发生率。结果 研究组的住院时间为(5.37±2.68)d、术中出血量为(18.36±2.17)ml、术后下床时间为(32.15±1.06)h，显著优于常规组的住院时间(10.25±1.47)d、术中出血量(35.24±3.45)ml，术后下床时间(54.16±1.43)h。两组患者在临床疗效所得数据对比具有统计学意义(P<0.05)；研究组的并发症发生率为5.56%，明显低于常规组的16.67%(P<0.05)。结论 采用经腹膜后腹腔镜手术治疗肾囊肿可以有效减少患者的术中出血量，提高患者的治疗效果，降低术后并发症的发生率，值得推广。
关键词：肾囊肿；经腹膜后腹腔镜手术；开放性肾囊肿去顶术
, 百拇医药
中图分类号：R699 文献标识码：A 文章编号：1006-1959(2017)24-0048-02
Clinical Observation of Retroperitoneal Laparoscopic Surgery for Renal Cyst
XIANG Yong-dong
(Department of Urology，the First People's Hospital of Yidu，Yidu 443300，Hubei，China)
Abstract：Objective To analyze the operative method and clinical therapeutic effect of laparoscopic treatment of renal cyst.Methods 36 cases of renal cyst patients in our hospital from July 2015～2017 year in February，all the patients were grouped according to the order of admission.The conventional group(n=18)with open renal cyst unroofing treatment，study group(n=18)treated by retroperitoneal laparoscopic surgery，the incidence of clinical therapeutic effects were compared between the two groups and complications.Results The length of time the study group is(5.37±2.68)d，the amount of hemorrhage of(18.36±2.17)ml，postoperative ambulation time was (32.15±1.06)h，the hospitalization time was significantly better than that of the conventional group(10.25±1.47)d，the amount of bleeding(35.24±3.45)ml，out of bed time after the operation(54.16±1.43)h.Patients in the two groups was statistically significant in the comparison of the clinical data(P<0.05)；the study group complication rate was 5.56%，significantly lower than the conventional group 16.67%(P<0.05).Conclusion The retroperitoneal laparoscopic surgery in the treatment of renal cyst can effectively reduce the amount of bleeding in patients in the operation，improve the treatment effect of the patients，the incidence rate，reduce the postoperative complications and is worthy of promotion.
, http://www.100md.com
Key words：Renal cyst；Retroperitoneal laparoscopic surgery；Open renal cyst unroofing
腎囊肿(renal cyst， cyst of kidney)指的是人体肾脏内部出现的各种囊性肿块，这些囊性肿块与外界不相通，而且大小不一，可发于各种年龄阶段的患者当中。肾囊肿的主要临床症状表现为高血压、腰痛以及夜尿增多等，部分肾囊肿有可能发生病变或者感染，对患者的生命安全以及生活质量均会产生严重的不良影响。因此，肾囊肿患者确诊之后必须要进行手术治疗，本次实验对我院2015年7月～2017年2月收治的36例肾囊肿患者进行了两种手术治疗方法的对比研究，研究结果显示，采用经腹膜后腹腔镜手术治疗能够取得更好的效果，具体报道如下。
1资料与方法
1.1一般资料
选取我院2015年7月～2017年2月收治的36例肾囊肿患者，将所有患者按照入院顺序进行分组，分为研究组和常规组各18例。研究组中，女7例，男11例；年龄39～72岁，平均年龄(54.8±2.13)岁；肾囊肿部位：左侧肾囊肿有7例，右侧肾囊肿有6例，双侧3例，其他1例。常规组中，女8例，男10例；年龄39～74岁，平均年龄(55.2±2.09)岁；肾囊肿部位：左侧肾囊肿有8例，右侧肾囊肿有6例，双侧2例，其他2例。两组患者在肾囊肿部位类型、性格以及年龄等方面对比不具有统计学意义(P>0.05)。, http://www.100md.com(向永东)
关键词：肾囊肿；经腹膜后腹腔镜手术；开放性肾囊肿去顶术
, 百拇医药
中图分类号：R699 文献标识码：A 文章编号：1006-1959(2017)24-0048-02
Clinical Observation of Retroperitoneal Laparoscopic Surgery for Renal Cyst
XIANG Yong-dong
(Department of Urology，the First People's Hospital of Yidu，Yidu 443300，Hubei，China)
Abstract：Objective To analyze the operative method and clinical therapeutic effect of laparoscopic treatment of renal cyst.Methods 36 cases of renal cyst patients in our hospital from July 2015～2017 year in February，all the patients were grouped according to the order of admission.The conventional group(n=18)with open renal cyst unroofing treatment，study group(n=18)treated by retroperitoneal laparoscopic surgery，the incidence of clinical therapeutic effects were compared between the two groups and complications.Results The length of time the study group is(5.37±2.68)d，the amount of hemorrhage of(18.36±2.17)ml，postoperative ambulation time was (32.15±1.06)h，the hospitalization time was significantly better than that of the conventional group(10.25±1.47)d，the amount of bleeding(35.24±3.45)ml，out of bed time after the operation(54.16±1.43)h.Patients in the two groups was statistically significant in the comparison of the clinical data(P<0.05)；the study group complication rate was 5.56%，significantly lower than the conventional group 16.67%(P<0.05).Conclusion The retroperitoneal laparoscopic surgery in the treatment of renal cyst can effectively reduce the amount of bleeding in patients in the operation，improve the treatment effect of the patients，the incidence rate，reduce the postoperative complications and is worthy of promotion.
, http://www.100md.com
Key words：Renal cyst；Retroperitoneal laparoscopic surgery；Open renal cyst unroofing
腎囊肿(renal cyst， cyst of kidney)指的是人体肾脏内部出现的各种囊性肿块，这些囊性肿块与外界不相通，而且大小不一，可发于各种年龄阶段的患者当中。肾囊肿的主要临床症状表现为高血压、腰痛以及夜尿增多等，部分肾囊肿有可能发生病变或者感染，对患者的生命安全以及生活质量均会产生严重的不良影响。因此，肾囊肿患者确诊之后必须要进行手术治疗，本次实验对我院2015年7月～2017年2月收治的36例肾囊肿患者进行了两种手术治疗方法的对比研究，研究结果显示，采用经腹膜后腹腔镜手术治疗能够取得更好的效果，具体报道如下。
1资料与方法
1.1一般资料
选取我院2015年7月～2017年2月收治的36例肾囊肿患者，将所有患者按照入院顺序进行分组，分为研究组和常规组各18例。研究组中，女7例，男11例；年龄39～72岁，平均年龄(54.8±2.13)岁；肾囊肿部位：左侧肾囊肿有7例，右侧肾囊肿有6例，双侧3例，其他1例。常规组中，女8例，男10例；年龄39～74岁，平均年龄(55.2±2.09)岁；肾囊肿部位：左侧肾囊肿有8例，右侧肾囊肿有6例，双侧2例，其他2例。两组患者在肾囊肿部位类型、性格以及年龄等方面对比不具有统计学意义(P>0.05)。, http://www.100md.com(向永东)