摘要
目的比较单孔后腹腔镜和传统后腹腔镜肾囊肿去顶术的临床疗效及安全性。方法将60例单纯肾囊肿患者分为单孔后腹腔镜组(治疗组30例)和传统后腹腔镜组(对照组30例)。记录患者年龄、体质量指数(BMI)、囊肿直径、手术时间、术中出血量、术后疼痛评分、禁食时间、留置引流管时间、术后住院时间、术后并发症等临床资料,并对结果进行分析。结果 60例手术均获成功,无明显术后并发症发生,复查均未见囊肿复发。治疗组手术时间长,但治疗组在疼痛评分、术后住院时间方面优于对照组,差异有统计学意义(P<0.05);两组患者在术中出血量、术后禁食时间、留置引流管时间方面差异均无统计学意义(P>0.05)。结论单孔后腹腔镜肾囊肿去顶术简单有效,该术式为有美容要求的患者提供一种新的选择,值得在临床中推广应用。
Objective To compare the clinical effects and safety of retroperitoneal laparoscopic single-site surgery and conventional retroperitoneal laparoscopic surgery in treatment of renal cyst. Methods Sixty patients were divided into the single-site route（treatment group,30 cases）and the conventional route （control group, 30 cases）. The data of patient age, body mass index （BMI）, diameter of cyst, operation time, estimated blood loss, postoperative pain scores, postoperative fasting time, drainage duration, postoperative hospital stay and postoperative complication were recorded and analyzed. Results The surgery in all cases were successfully,no obvious postoperative complications, the review showed no cyst recurrence. Compared with the control group, the operation time in treatment group was increased, but postoperative pain scores, postoperative hospital stay of the treatment group were better than those of the control group（P〈0. 05）. There were no significant difference in mean estimated blood loss, postoperative fasting time,and drainage duration between the two groups（P〉0. 05）. Conclusion Retroperitoneal laparoscopic single-site surgery for the treatment of renal cyst is simple and effective,and it provides a new option for patients with cosmetic requirements, and worths to be widely promoted in clinical.
出处
《重庆医学》
CAS
北大核心
2016年第28期3946-3948,共3页
Chongqing medicine
关键词
单孔
腹腔镜
肾疾病
囊性
single-site
laparoscopy
kdney disease,Cystic
