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目的:比较后腹腔镜去顶减压术与经皮穿刺硬化术在治疗单纯性肾囊肿方面的优缺点,探讨手术方法的选择。方法:回顾性分析我院2006年7月～2010年6月单纯性肾囊肿病例共97例,46例采用后腹腔镜去顶减压术,51例采用经皮穿刺硬化术治疗,并随访6～12个月,比较其手术时间、治愈率、并发症发生率、住院天数、住院费用。结果:腹腔镜组与穿刺组的术后并发症发生率分别为8.7%、9.8%,两者之间无统计学差异,两组的手术时间分别为(60.37±6.31)min、(15.75±1.41)min,治愈率分别为100%、78.43%,住院天数分别为(13.87±0.91)天、(7.73±0.75)天,住院费用分别为(13970±1390)元、(6087±666)元,两者之间的差异均有统计学意义(P<0.05)。结论:经皮穿刺硬化术因创伤小、痛苦小、恢复快、费用低,可以门诊治疗,可作为治疗单纯性肾囊肿的首选方法,当此方法治疗失败时,后腹腔镜去顶减压术可作为一种良好的备选方法。
Objective: To compare the advantages and disadvantages of retroperitoneal decompression and percutaneous puncture sclerotherapy in the treatment of simple renal cysts, and to explore the choice of surgical methods. Methods: A retrospective analysis of our hospital from July 2006 to June 2010, a total of 97 cases of simple renal cysts, 46 cases of retroperitoneal decompression, 51 cases were treated by percutaneous puncture and follow-up 6 ~ 12 months, comparing the operation time, cure rate, complication rate, hospitalization days, hospitalization costs. Results: The incidence of postoperative complications in laparoscopic group and puncture group were 8.7% and 9.8% respectively, with no significant difference between the two groups (60.37 ± 6.31) min and (15.75 ± 1.41) ) min, the cure rates were 100% and 78.43% respectively, the days of hospitalization were (13.87 ± 0.91) days and (7.73 ± 0.75) days respectively, and the hospitalization expenses were (13970 ± 1390) and (6087 ± 666) The differences between the two groups were statistically significant (P <0.05). Conclusion: Percutaneous puncture and sclerotherapy is the first choice for the treatment of simple renal cysts because of less trauma, less pain, quicker recovery and lower cost. It can be used as outpatient treatment. When this method fails, retroperitoneal decompression Can be used as a good alternative.