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目的:探讨采用肝部分切除加肝囊肿广泛开窗联合肾囊肿去顶减压术治疗严重成人多囊肝、多囊肾病的效果及可行性。方法:回顾分析我院自2007年7月至10月采用肝部分切除联合囊肿广泛开窗治疗严重成人多囊肝、多囊肾病3例患者的术前症状、手术方法、手术时间、术后并发症及手术效果。结果:3例患者均顺利出院,手术时间分别为475、402、430min,3例患者均出现胸、腹腔积液,经穿刺引流后胸、腹腔积液消失。3例分别于术后9、6、5个月随访,症状消失,肾功能正常,2例术前伴高血压的患者血压恢复正常。结论:肝部分切除加囊肿广泛开窗联合肾囊肿去顶减压术治疗严重成人多囊肝、多囊肾病是一种理想安全的治疗方法,但术后并发症较多,长期疗效尚需观察。
Objective: To investigate the effect and feasibility of using partial hepatectomy plus hepatic cyst in the treatment of severe adult polycystic liver disease and polycystic kidney disease with extensive fenestration and renal cyst debridement. Methods: A retrospective analysis of our hospital from July 2007 to October with partial hepatectomy cyst combined with extensive open window treatment of severe adult polycystic liver disease, polycystic kidney disease in 3 patients with preoperative symptoms, surgical methods, operation time, postoperative complications Symptoms and surgical results. Results: All 3 patients were discharged smoothly. The operative time was 475, 402, and 430 min respectively. Thoracic and ascitic fluid appeared in all 3 patients. Thoracic and ascitic fluid disappeared after puncture and drainage. Three patients were followed up for 9, 6 and 5 months respectively. Symptoms disappeared and renal function was normal. Two patients with preoperative hypertension had normal blood pressure. Conclusions: Partial hepatectomy combined with extensive cyst opening in combination with renal cyst debridement in the treatment of severe adult polycystic liver disease is an ideal and safe method of treatment. However, there are many postoperative complications and long-term efficacy needs to be observed .