单孔后腹腔镜与传统肾囊肿去顶术治疗肾囊肿对比研究.docVIP

单孔后腹腔镜与传统肾囊肿去顶术治疗肾囊肿对比研究 　　【摘要】 目的：研究单孔后腹腔镜手术与传统肾囊肿去顶术治疗肾囊肿的效果。方法：选取2015年1月-2017年6月赣州市立医院收治的肾囊肿患者80例，采用数字随机法分成观察组和对照组，每组40例。对照组患者行传统肾囊肿去顶术治疗，观察组患者行单孔后腹腔镜肾囊肿去顶术治疗，将两组肾囊肿患者的手术时间、术中出血量、术后并发症发生率、引流管留置时间和住院时间进行对比。结果：观察组患者的手术时间、引流管留置时间、住院时间均短于对照组，术中出血量少于对照组，差异均有统计学意义（P0.01）；观察组患者的术后并发症发生率为2.5%，低于对照组的17.5%，差异有统计学意义（P0.05）；观察组肾囊肿患者复发率为7.5%，低于对照组的25.0%，差异有统计学意义（P0.05）。结论：单孔后腹腔镜肾囊肿去顶术治疗肾囊肿疗效确切，手术创伤较小，患者的术后恢复较快。 　　【关键词】 单孔后腹腔镜； 肾囊肿； 手术时间； 术后并发症； 引流管留置时间 　　【Abstract】 Objective：To study the effect of single hole retroperitoneal laparoscopic surgery and traditional unroofing of renal cyst in the treatment of renal cyst.Method：80 patients with renal cyst from January 2015 to June 2017 in Ganzhou Municipal Hospital were selected and divided into observation group and control group by random number method，40 cases in each group.The control group was treated with traditional renal cyst unroofing，the observation group was treated with single hole laparoscopic renal cyst unroofing，the operative time，bleeding volume，postoperative complication rate，drainage time and hospitalization time of the two groups were compared.Result：The operation time，drainage tube indwelling time，hospitalization time of the observation group were shorter than those in the control group，the amount of bleeding during operation was less than that of the control group，the differences were statistically significant（P0.01）；the complications the incidence rate of observation group was 2.5%，which was lower than 17.5% in the control group，the difference was statistically significant（P0.05）；the recurrence rate of renal cyst in the observation group was 7.5%，which was lower than 25.0% of the control group，the difference was statistically significant（P0.05）.Conclusion：Single hole retroperitoneal laparoscopic unroofing of renal cyst is effective in the treatment of renal cyst，with less trauma and quicker recovery. 　　【Key words】 Single hole retroperitoneal laparoscopy； Renal cyst； Operation time； Postoperative complicat