摘要
目的:探讨经输尿管镜钬激光内切开治疗肾盂旁囊肿的技巧、优点、疗效及安全性.方法:分析2008年3月～2012年7月对21例肾盂旁囊肿患者行经输尿管镜钬激光内切开引流治疗的临床资料.患者年龄51(36～66)岁.其中男16例,女5例.囊肿直径5.5(4.8～6.5)cm.结果:21例患者手术均成功完成,无中转开放手术.手术时间40(30～50) min,术中失血5～20 ml.住院天数4(3～5)d.术后定期随访,其中1例术后3年再次出现肾囊肿,其余患者均未复发.结论:经输尿管镜钬激光内切开治疗肾盂旁囊肿是一种安全、有效的微创术式,在治疗肾盂旁囊肿上有良好的疗效和明显的优势.
Objective:To evaluate the technique,advantage,efficacy and safety of ureteroscopic incision and drainage using holmium:YAG laser for treatment of parapelvic cysts.Methods:We reviewed data of analyzed 21 patients treated with ureteroscopic incision and drainage using holmium:YAG laser between March 2008 and July 2012.Among the patients,16 patients were male and 5 patients were female,ranging in age from 36 to 66 years old, an average age of 51 years old.The average cyst diameter was 5.5 cm(range:4.8-6.5).Results:All cases were operated successfully with no conversions to open surgery.The average time of operation was 40 mins(range:30-50). The estimated blood loss during operation was 5 to 20 ml.The average of admission day was 4 days(range:3-5). After follow-up of 3-36 months,only one patient had recurrence after 3 years,the others were alive with no evidence of recurrence.Conclusions:Ureteroscopic incision and drainage using holmium:YAG laser for treatment of parapelvic cysts is a safe,effective and minimally invasive surgery,which has significant advantage and good effects for the treatment of parapelvic cysts.
出处
《微创泌尿外科杂志》
2013年第2期126-127,共2页
Journal of Minimally Invasive Urology
关键词
输尿管镜
钬激光
肾盂旁囊肿
微创
ureteroscopy
holmium:YAG laser
parapelvic cyst
minimally invasive
