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目的:观察经腹膜后入路腹腔镜多囊肾囊肿去顶减压术的临床疗效。方法:对我院2009年7月~2015年1月确诊并收治的32例成人型多囊肾患者进行临床观察研究,患者全部实施后腹腔镜肾囊肿去顶减压术,采用分期单侧治疗方法。观察治疗前后肾功能、腰部疼痛及血压等指标的改善情况。结果:32例手术均获成功,无输血及中转开放手术。术前血清肌酐为(284.82±61.11)μmol/L,术后3个月为(215.12±47.03)μmol/L;术前血尿素氮(25.35±6.10)mmol/L,术后3个月为(17.5±5.11)mmol/L;手术前后比较,均P<0.01。术前收缩压(150.13±33.58)mmHg、舒张压(101.85±18.83)mmHg,术后3个月收缩压(130.37±21.15)mmHg、舒张压(85.64±11.12)mmHg;手术前后比较,均P<0.05,术后患者腰腹部不适症状较术前明显缓解。结论:后腹腔镜肾囊肿去顶减压术治疗成人型多囊肾方法安全、有效,术后可改善肾功能,减轻患者腰腹部疼痛症状,是治疗成人多囊肾安全有效的方法。
Objective: To observe the clinical effect of retroperitoneal laparoscopic polycystic kidney cyst debridement and decompression. Methods: Thirty-two adult polycystic kidney patients diagnosed and treated in our hospital from July 2009 to January 2015 were studied retrospectively. All patients underwent retroperitoneal laparoscopic renal cyst decompression and unilateral unilateral therapy method. Before and after treatment to observe renal function, waist pain and blood pressure and other indicators of improvement. Results: All the 32 surgeries were successful. There were no blood transfusion and open surgery. Preoperative serum creatinine was (284.82 ± 61.11) μmol / L and (215.12 ± 47.03) μmol / L at 3 months postoperatively, preoperative blood urea nitrogen (25.35 ± 6.10) mmol / L, 17.5 ± 5.11) mmol / L before and after surgery, all P <0.01. Preoperative systolic blood pressure (150.13 ± 33.58) mmHg, diastolic blood pressure (101.85 ± 18.83) mmHg, postoperative systolic blood pressure (130.37 ± 21.15) mmHg and diastolic blood pressure (85.64 ± 11.12) mmHg at 3 months postoperatively, 0.05, patients with postoperative symptoms of lumbar and abdominal discomfort significantly relieved than before surgery. Conclusion: Retroperitoneal laparoscopic renal cyst decompression in the treatment of adult polycystic kidney disease is safe and effective. It can improve renal function and relieve the symptoms of lumbar and abdominal pain after operation. It is a safe and effective method for the treatment of adult polycystic kidney disease.