摘要
目的:比较分析在腹腔镜去顶减压治疗单纯性肾囊肿手术过程中,联合应用囊腔酒精硬化,对减少术后囊壁渗出,降低复发率的影响。方法:选取2013年1月~2016年1月在我院行手术治疗的单纯性肾囊肿患者120例,随机分为观察组(n=60)和对照组(n=60),观察组行腹腔镜肾囊肿去顶减压术联合囊腔内注入95%无水酒精治疗,对照组仅行腹腔镜肾囊肿去顶减压术,分别比较两组患者手术时间、术中出血量、术后前5d每日引流量、术后总引流量、拔管时间、总住院时间以及术后6个月到1年的复发率。结果:观察组手术时间(78.73±23.92)min,对照组(79.88±21.78)min,两组比较差异无统计学意义(P>0.05);观察组术中出血量(17.95±11.74)ml,对照组(16.48±13.25)ml,两组比较差异无统计学意义(P>0.05);观察组住院时间(7.32±1.40)d,对照组(8.25±1.60)d,两组比较差异无统计学意义(P>0.05);观察组术后总引流量(63.48±39.16)ml,对照组(284.37±151.21)ml,两组比较差异有统计学意义(P<0.05);观察组拔管时间(3.65±0.46)d,对照组(6.65±1.36)d,两组比较差异有统计学意义(P<0.05)。观察组术后随访无一例复发,对照组复发2例(3.33%),观察组复发率低于对照组,但差异无统计学意义。结论:在腹腔镜去顶减压治疗单纯性肾囊肿手术过程中联合应用囊腔酒精硬化治疗可以显著降低术后引流量、引流管留置时间及肾囊肿的复发率,值得在临床上推广。
Objective：To explore laparoscopy combined with alcohol sclerosing agent in treatment of simple renal cyst for reducing the postoperative capsule wall leakage and decreasing recurrence.Method：We chose 120 patients with simple renal cyst who had surgical treatment in our hospital from January 2013 to January 2016.These patients were divided into two groups randomly.Observation group with 60 patients were treated by laparoscopic renal cyst unroofing combined with capsule cavity injection of anhydrous alcohol 95%,while control group with 60 patients were only treated by laparoscopic renal cyst unroofing.Operation time,intraoperative blood loss,postoperative daily drainage volume in 5 days,postoperative total drainage volume,extubation time,total hospitalization time and postoperative recurrence rate in 6 months to one year were compared between two groups.Result：Operation time：the observation group（78.73±23.92）min,the control group（79.88±21.78）min,the difference was not statistically significant（P0.05）;Intraoperative bleeding volume：the observation group（17.95±11.74）ml,the control group（16.48±13.25）ml,the difference was not statistically significant（P0.05）;Hospitalization time：the observation group（7.32±1.40）d,the control group（8.25±1.60）d,the difference was not statistically significant（P0.05）;The total postoperative drainage volume：the observation group（63.48±39.16）ml,the control group（284.37±151.21）ml,the difference was statistically significant（P0.05）;Extubation time：the observation group（3.65±0.46）d,the control group（6.65±1.36）d,the difference was statistically significant（P0.05）.Postoperative follow-up：no recurrence in observation group,the recurrence rate was 0%,while the control group had 2 cases of recurrence,the recurrence rate was 3.33%,the observation group was better than the control group,but the difference was not statistically significant（P0.05）.Conclusion：In laparoscopic unroofing treatment of simple renal cyst combined with alcohol sclerosing can significantly reduce postoperative drainage,drainage tube indwelling time,renal cyst recurrence rate,so it is worthy of clinical promotion.
作者
冯越
安瑞华
FENG Yue;AN Ruihua(Department of Urology, First Affiliated Hospital of Harbin Medical University, Harbin, 150001, China)
出处
《临床泌尿外科杂志》
2018年第4期327-330,共4页
Journal of Clinical Urology
关键词
肾囊肿
腹腔镜去顶减压术
酒精硬化
renal cyst
laparoscopic unroofing
alcohol sclerotherapy
