经脐单孔多通道腹腔镜治疗单纯性肾囊肿的临床疗效观察.docVIP

经脐单孔多通道腹腔镜治疗单纯性肾囊肿的临床疗效观察 　　doi：10.3969/j.issn.1007-614x.2014.16.18 　　摘 要 目的：探讨经脐单孔多通道腹腔镜治疗单纯性肾囊肿的临床疗效。方法：2013年6月-2014年3月收治单纯性肾囊肿患者30例，并将其随机分成常规治疗组与试验治疗组，每组15例。常规治疗组采用传统手术治疗，试验治疗组采用经脐单孔多通道腹腔镜进行治疗。比较两组临床疗效及成功率。结果：常规治疗组与试验治疗组手术均顺利完成。试验治疗组总有效率94%，对照组总有效率67%，两组比较差异有统计学意义（P0.05）。结论：运用经脐单孔通道腹腔镜治疗单纯性肾囊肿效果良好，值得临床推广应用。 　　关键词 经脐单孔多通道腹腔镜 单纯性肾囊肿 治疗与护理 　　The clinical effect of transumbilical single port multi-channel laparoscopy in the treatment of simple renal cyst 　　Wang Shaomei，Yang Xiaotong 　　The Central Hospital of Jinan City，Shandong 250013 　　Abstract Objective：To explore the clinical effect of transumbilical single port multi-channel laparoscopy in the treatment of simple renal cyst.Methods：30 cases with simple renal cyst were selected from June 2013 to March 2014.They were randomly divided into the routine treatment group and the experimental treatment group with 15 cases in each.The routine treatment group were treated with traditional operation treatment.The experimental treatment group were treated with transumbilical single port multi-channel laparoscopy.The overall effects and success rates of clinic treatment of patients between the two groups were analyzed and compared.Results：The operations of the two groups finally were successful.The total effect of the experimental treatment group was 94%. The total effect of the routine treatment group was 67%.The difference was statistical significant（P0.05）.Conclusion：Transumbilical single port multi-channel laparoscopy in the treatment of simple renal cyst has a good effect，so it is worthy of clinical application. 　　Key words Transumbilical single port multi-channel laparoscopy；Simple renal cyst；Treatment and nursing 　　单纯性肾囊肿是肾囊性疾病中最多见、症状最轻的一种，多见于成年人[1]。由于临床症状不明显，往往使患者无法及时发现病情，从而错过最佳就诊时间，对患者的日常生活及心理造成一定程度的影响。通过运用经脐单孔多通道腹腔镜手术对患有慢性单纯性肾囊肿的患者进行治疗及护理，可以提高临床治疗的成功率，促进患者的恢复，现报告如下。 　　资料与方法 　　2013年6月-2014年3月收治单纯性肾囊肿患者30例，且30例患者中均没有严重的心脏功能方面的疾病以及肾功能的损害。随机将该30例患者分成试验治疗组与常规治疗组，每组15例。试验治疗组中男10例，均为左侧囊肿或双侧囊肿；女5例，均为右侧囊肿；患者年龄