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目的:采用腹腔镜去顶减压术治疗肾囊肿的方法,探讨其临床效果及应用体会。方法:回顾收集我院近3年来的手术病人100例,完善其临床资料,将其随机分为实验组和对照组,实验组采用经后腹腔途径,对照组采用经腹途径。比较2种途径的差异及优劣势。经统计学分析,得出结果。结果:100患者中95例手术顺利,整个手术及术后均未输血,且术后患者恢复良好;其中有4例中转开放手术。2组之间在手术时间、手术出血量上无明显差异;实验组在术后最高体温上较低,且术后排气时间较早。结论:在腹腔镜下去顶减压术治疗肾囊肿,其切口较小,效果满意,且并发症少等优点,值得临床推广。
Objective: Laparoscopic decompression for the treatment of renal cysts, to explore the clinical effect and application experience. Methods: A retrospective study was conducted to collect 100 cases of surgical patients in our hospital in recent 3 years and to improve their clinical data. The patients were randomly divided into experimental group and control group. The experimental group was treated by retroperitoneal approach and the control group by transabdominal approach. Compare the differences and advantages and disadvantages of the two approaches. After statistical analysis, the results. Results: Of the 100 patients, 95 cases were operated smoothly, and no blood was transfused during the whole operation and postoperatively. Postoperative patients recovered well. Among them, 4 cases underwent open surgery. There was no significant difference between the two groups in the operation time and the amount of surgical bleeding. The experimental group had the lowest postoperative maximal body temperature and the postoperative exhaust time earlier. Conclusion: Laparoscopic decompression in the treatment of renal cysts, the incision smaller, satisfactory results, and fewer complications, worthy of clinical promotion.