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目的:探讨后腹腔镜囊肿去顶术联合输尿管镜钬激光同期治疗肾囊肿合并输尿管结石手术方法和疗效。方法:选取2010年4月至2015年1月中山市陈星海医院35例肾囊肿合并输尿管结石患者,采用随机对照方法将患者分为对照组(18例)和观察组(17例)。观察组患者给予后腹腔镜肾囊肿去顶术+输尿管镜钬激光同期手术治疗,对照组先行后腹腔镜肾囊肿去顶术,3 d后行输尿管镜钬激光碎石术,比较两组患者临床疗效。结果:两组患者手术时间、手术出血量指标比较,差异均无统计学意义(P>0.05);观察组患者住院时间显著短于对照组,住院费用显著高于对照组,差异具有统计学意义(P<0.05)。结论:后腹腔镜联合输尿管镜治疗肾囊肿合并输尿管结石的临床效果较好,并且安全可靠,费用低。
Objective: To investigate the surgical and efficacy of retroperitoneoscopic cyst debridement combined with ureteroscopic holmium laser in the treatment of renal cyst complicated with ureteral calculi. Methods: From April 2010 to January 2015, 35 patients with renal cyst and ureteral calculi in Chen Xinghai Hospital of Zhongshan were enrolled. Patients were divided into control group (n = 18) and observation group (n = 17) by randomized controlled trial. Patients in the observation group were treated with retroperitoneal laparoscopic renal cyst debridement and ureteroscopic holmium laser surgery. The control group received retroperitoneal laparoscopic renal cyst debridement and ureteroscopic holmium laser lithotripsy 3 days later. The clinical outcomes of two groups were compared Efficacy. Results: There was no significant difference in operative time and bleeding volume between the two groups (P> 0.05). The hospitalization time in the observation group was significantly shorter than that in the control group, and the hospitalization expense was significantly higher than that in the control group (P <0.05). Conclusion: Retroperitoneal laparoscopy combined with ureteroscopy in the treatment of renal cyst with ureteral calculi clinical results are good, safe and reliable, low cost.