河北医学Issue(1)：45-49,5.DOI:10.3969/j.issn.1006-6233.2015.01.015
后腹腔镜肾囊肿去顶联合经皮肾穿刺碎石术在肾囊肿合并肾或输尿管上段结石患者中的应用研究
The Application of Retroperitoneal Laparoscopic Renal Cyst Unroofing Combined with Minimally Invasive Percutaneous Nephrolithotomy in Renal Cysts Patients with Renal or Ureteral Calculi
摘要
Abstract
Objective:To compare and analyse the clinical efficacy of the same period and stages of ret-roperitoneal laparoscopic renal cyst unroofing ( RLRCU ) combined with minimally invasive percutaneous nephrolithotomy ( MIPNL) in the treatment of renal cyst combined with renal or upper ureteral calculi , to dis-cuss the clinical value of RLRCU combined with MIPNL .Method:From Jan.2010 to Dec.2013, selected 80 cases of renal cyst combined with renal or upper ureteral calculi treated in our hospital as study objects . They were randomly divided into observation group and control group by random number table method , each group with 40 patients.The observation group received same period RLRCU combined with MIPNL treat-ment, the control group received stages RLRCU combined with MIPNL treatment .Compare and analysis the efficacy difference between the two groups in operation time , intraoperative blood soss , postoperative gastro-intestinal function recovery time , postoperative ambulation time , postoperative hospital stay , stone clearance rate, cysts and stone recurrence rate and the occurrence of complications .and then evaluated the clinical val-ue of same period operation .Result:The observation group were significantly lower than the control group in operative time, blood loss, postoperative recovery of gastrointestinal function , postoperative hospital stay , the differences were statistically significant ( P <0.05) .The observation group was lower than the control group in postoperative ambulation time , but the difference was not statistically significant ( P>0.05) .There was no significant difference between the two groups in stone clearance rate , cyst recurrence rate , stone recurrence rate 3months after the operation, but the differences were not statistically significant (P>0.05).There was no significant difference between the two groups in subcutaneous emphysema , kidney peripheral effusion , in-fection, hematuria, ureteral injury and other aspects of the complications occurrence , the differences were not statistically significant (P>0.05).Conclusion: The same period and stages of RLRCU combined with MIPNL treatment have similar clinical efficacy , but the same period operation can significantly reduce the operation time , blood loss , accelerate patient recovery , and reduce hospital costs of patients , it has great value to the clinic application .关键词
腹腔镜/肾囊肿去顶术/经皮肾穿刺碎石术/同期手术/分期手术Key words
Laparoscopy/Renal cyst unroofing/Minimally invasive percutaneous nephrolithoto-my/The same period operation/Stages operation引用本文复制引用
梁晓宇,杨件华,叶向东,邹伟波,吴伟江,袁道彰,谢天翔,温剑辉,邱君裕,杨小龙..后腹腔镜肾囊肿去顶联合经皮肾穿刺碎石术在肾囊肿合并肾或输尿管上段结石患者中的应用研究[J].河北医学,2015,(1):45-49,5.基金项目
2013年广东省河源市社会发展科技计划项目， （）
