单纯性肾囊肿后腹腔镜肾囊肿穿刺硬化联合去顶术的效果及安全性

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Abstract Objective To investigate the clinical effect and security of retroperitoneal laparoscopic renal cyst puncture combined and sclerotherapy with unroofing in patients with simple renal cyst. Methods A total of 60 patients with simple renal cyst treated in the Fifth Affiliated Hospital of Zunyi Medical University (Zhuhai) from September 2019 to September 2020 were selected as the research objects, and they were divided into the control group (n=30) and the observation group (n=30) according to random number table method. The patients in the control group were treated with retroperitoneal laparoscopic renal cyst unroofing, the patients in the observation group received retroperitoneal laparoscopic renal cyst puncture and sclerotherapy combined with unroofing. The two groups were observed for 6 months. The total effective rate, bleeding volume during operation, drainage volume, hospital stay and cost of the two groups were compared, and the total incidence of complications and the recurrence rate of the two groups were compared. Results The total effective rate of the observation group was higher than that of the control group, the difference was statistically significant (P＜0.05). The hospital stay of the observation group were shorter than that of the control group, and the amount of bleeding during operation, drainage volume and cost of the observation group were less than those of the control group, the differences were statistically significant (P＜0.05). The total incidence of complications and the recurrence rate in the observation group were lower than those in the control group, the differences were statistically significant (P＜0.05). Conclusion Retroperitoneal laparoscopic renal cyst puncture and sclerotherapy combined with unroofing is effective in the treatment of simple renal cyst, which can reduce the size of the cyst, accelerate the postoperative recovery, reduce the recurrence rate, has high safety and low medical cost, and is worthy of clinical promotion.

Key words： Retroperitoneal laparoscope Puncture and sclerotherapy Unroofing Simple renal cyst Clinical effect Security

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[1]	董德鑫，石冰冰，荣石，等.复杂肾囊肿行腹腔镜肾部分切除术临床经验探讨[J].基础医学与临床，2019，39（5）：735-737.
[2]	郑燕深，麦惠洪，李剑峰，等.后腹腔镜肾囊肿去顶减压术后患者应激相关指标水平变化及临床意义分析[J].河北医学，2019，25（2）：307-313.
[3]	张皓，吕发金，张亚运，等.CT 引导下的经皮穿刺硬化治疗单纯性肾囊肿的实践和改良[J].临床放射学杂志，2019，38（9）：1752-1758.
[4]	Han X，Yuan G，Zhu X，et al.A comparative study of miniversus standard laparoscopy in the treatment of renal cysts[J].Minim Invasive Ther Allied Technol，2020，30（3）：179-186.
[5]	全亚东.经囊肿穿刺肾盏的方法同期治疗肾囊肿和肾结石[J].养生保健指南，2019（37）：174.
[6]	谢赞兵，李子祺，黄冠银.B 超引导下经皮肾镜双通道与腹腔镜下肾囊肿去顶术治疗单纯性肾囊肿的比较研究[J].微创泌尿外科杂志，2019，8（5）：298-302.
[7]	李金泽，彭磊，李云祥，等.经腹途径与经腹膜后途径腹腔镜去顶减压术治疗单纯性肾囊肿的Meta 分析[J].国际外科学杂志，2020，47（9）：604-609，f3.
[8]	徐峰，李晓欣，孙文学，等.细针穿刺技术在肾囊肿与肾盏憩室鉴别诊断中的应用[J].实用医学杂志，2019，35（7）：1190-1192.
[9]	Qin J，Wang P，Jing TL，et al.Retroperitoneal robot-assisted laparoscopic upper pole heminephrectomy in adult patients with duplex kidneys[J].Ther Clin Risk Manag，2019，15：727-731.
[10]	杨丽琴，刘莉莉.腹腔镜肾囊肿去顶减压手术中循证护理的应用效果研究[J].山西医药杂志，2019，48（12）：1499-1501.
[11]	Lu N，Hu P，Wang J，et al.Simple renal cysts are associated with the 24-month prognosis of patients with type B aortic dissection and hypertension[J].Can J Cardiol，2019，35（11）：1499-1504.
[12]	周恩超，姚敏，尹浩，等.“益肾利湿化瘀方”联合穿刺治疗单纯性肾囊肿27 例临床研究[J].江苏中医药，2019，51（2）：40-42.
[13]	袁令兴，娄庆艳，徐英民，等.后腹腔镜肾囊肿穿刺硬化联合去顶术治疗单纯性肾囊肿的疗效分析[J].中国现代医学杂志，2020，30（1）：120-123.
[14]	Schwameis K，Oh D，Green KM，et al.Clinical outcome after laparoscopic Nissen fundoplication in patients with GERD and PPI refractory heartburn[J].Dis Esophagus，2020，33（4）：doz099.
[15]	Das JK，Singh M，Rangad G.Combined retroperitoneal and transperitoneal laparoscopic procedures by a single surgeon：boon to economically and medically backward areas[J].Cureus，2021，13（2）：e13152.
[16]	张成川，姜力豪，曾梦华，等.微创手术联合术后腹腔热灌注对进展期食管胃交界部腺癌患者血清肿瘤标志物及复发的影响[J].实用医院临床杂志，2020，17（2）：137-140.