摘要
目的探讨经输尿管镜下囊肿内切开引流术治疗肾囊肿的手术疗效和安全性。方法肾囊肿患者30例。其中肾盂旁囊肿11例，单发囊肿15例，多发囊肿4例。既往肾囊肿手术史者3例。囊肿直径平均6．9（4．0～11．2）cm。影像学检查均可见囊肿对集合系统压迫形成的压迹。使用输尿管镜经尿道顺行至肾盂径路，观察肾囊肿对集合系统的压迫情况，直视下用电刀在囊肿压迫肾盂明显处位置做内切开，使其与集合系统贯通，并置双J管内引流。结果30例手术均一次成功，囊肿处理时间平均31（15～45）min。手术时间平均61（30-120）min，住院时间平均6．5（4～7）d。无严重并发症发生。术后12d实验室检查患者蛋白尿消失。平均随访6（3～9）个月，其中囊肿消失24例，明显缩小4例，复发2例。结论经尿道输尿管镜技术处理肾囊肿具有安全、微创、近期疗效确切等优点。
Objective To evaluate the efficacy and safety of ureteroscopic endo-incision and drainage in the treatment of renal cysts. Methods Thirty cases （19 females and 11 males） of renal cysts （11 parapelvic cysts, 15 simple cysts, and 4 multiple cysts） were treated with ureteroscopic en- do-incision and drainage. The renal cysts were located in renal pelvis, and opened and decompressed by electrotme with ureteroscope. Double J stent was placed afterwards. Urinary and blood biochemis- try were tested post-operatively. Results All the operations were successfully completed with no severe complication. The cyst managing time ranged from 15 to 45 min. Urinary biochemistry （urinary protein and glucose） turned normal 12 days after the surgery. Patients were followed up for 3 to 9 months. Renal cysts disappeared in 24 cases, diminished in 4 cases, and recurred in 2 cases. Conclusion Application of ureteroscopic technique in the treatment of renal cyst is safe, effective and mini- really invasive.
出处
《中华泌尿外科杂志》
CAS
CSCD
北大核心
2009年第3期195-197,共3页
Chinese Journal of Urology
基金
广西壮族自治区卫生厅重点课题资助项目（200816）
关键词
肾囊肿
外科手术
输尿管镜
内切开
引流术
Renal cysts
Surgical procedures, ureteroscopic
Endo-incision
Drainage
