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目的:探讨经皮肾镜下肾囊肿去顶减压手术的可行性和安全性。方法:2011年11月~2013年12月,对30例就诊的单纯肾囊肿患者行经皮肾镜下肾囊肿去顶减压术,回顾性分析患者的临床信息,手术经过、手术时间、出血量、围手术期并发症、围手术期电解质变化、冲洗液吸收情况及预后。结果:30例患者手术均获得成功,无中转开放或腹腔镜手术,平均手术时间25 min,术中平均出血5 ml,术后无继发出血、感染及漏尿等并发症发生,围手术期未发生电解质紊乱,无水中毒发生。术后随访6~12个月,无囊肿复发。结论:采用经皮肾镜肾囊肿去顶减压术治疗单纯肾囊肿,具有创伤小、恢复快、安全性高等优点,值得临床推广。
Objective: To investigate the feasibility and safety of percutaneous nephrolithotomy for renal cysts. Methods: From November 2011 to December 2013, 30 patients with simple renal cysts underwent percutaneous nephrolithotomy undergone renal cyst decompression. The clinical data, operation time, operation time, amount of bleeding Perioperative complications, perioperative electrolyte changes, fluid uptake and prognosis. Results: All the 30 patients were successful in operation. There was no transit or laparoscopic operation. The average operation time was 25 min. The mean intraoperative blood loss was 5 ml. No postoperative bleeding, infection or leakage of urine were found. Perioperative period No electrolyte imbalance occurred, no water poisoning occurred. Follow-up 6 to 12 months after surgery, no cyst recurrence. Conclusion: Percutaneous nephrolithotomy for the treatment of simple renal cysts with renal cyst decompression has the advantages of less trauma, faster recovery and higher safety, which is worthy of clinical promotion.