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目的探讨腹腔镜下肾囊肿去顶减压术的临床疗效。方法选择2009年12月至2011年12月来我院进行治疗的肾囊肿患者64例作为观察对象,将全部患者中应用腹腔镜下肾囊肿去顶减压术治疗的32例肾囊肿患者设立为观察组,另外选择同期行传统开放性手术治疗的32例肾囊肿患者设立为对照组,观察比较两组患者的手术时间、术中出血量、住院时间以及并发症情况。结果观察组的手术时间(102.4±10.9 d)、住院时间(7.3±1.6 d)均分别短于对照组的手术时间(123.6±12.7 d)及住院时间(11.8±3.2 d),差异有统计学意义(P<0.05)。观察组的术中出血量(94.3±12.9 ml)少于对照组(135.4±11.4 m1),差异有统计学意义(P<0.05)。结论腹腔镜下肾囊肿去顶减压术治疗肾囊肿损伤小、术中失血少、术后恢复快、无严重并发症,安全有效,值得临床推广应用。
Objective To investigate the clinical efficacy of laparoscopic removal of renal cysts in decompression. Methods 64 cases of renal cysts treated in our hospital from December 2009 to December 2011 were selected as the observation objects and 32 cases of renal cysts treated with laparoscopic descending renal cyst were treated as In the observation group, another 32 patients with renal cyst who underwent traditional open surgery during the same period were enrolled as the control group. The operation time, intraoperative blood loss, hospitalization time and complications of the two groups were observed and compared. Results The operative time (102.4 ± 10.9 days) and hospital stay (7.3 ± 1.6 days) in the observation group were shorter than those in the control group (123.6 ± 12.7 days) and hospital stay (11.8 ± 3.2 days), respectively Significance (P <0.05). The observation group had less blood loss (94.3 ± 12.9 ml) than the control group (135.4 ± 11.4 m1), the difference was statistically significant (P <0.05). Conclusions Laparoscopic renal cyst decompression is a safe and effective method for the treatment of small renal cysts, less blood loss during operation, faster recovery after operation, and no serious complications. It is worthy of clinical application.