论文部分内容阅读
目的:分析肾囊肿腹腔镜手术后复发原因并提出相应对策。方法:回顾性分析我院2006年1月至2011年1肿)的诊疗过程和复发情况,分析复发原因并提出需要重视的相关技术细节。结果:325例病人复发28例,其中囊壁游离不充分,囊壁切除不够7例,占复发病例25.0%;手术清除2月采用腹腔镜技术治疗的325例单纯性肾囊肿患者(412个肾囊不够16例,占复发病例57.1%;术后尿性囊肿形成误判为囊肿复发2例,占复发病例7.1%,其他3例,占10.7%。结论:腹腔镜技术是一种安全、有效的单纯性肾囊肿治疗方法,选择合理的手术入路,同时对某些技术环节合理运用和改良,有助于降低术后复发率。
Objective: To analyze the causes of relapse after laparoscopic operation of renal cysts and to put forward corresponding countermeasures. Methods: A retrospective analysis of our hospital from January 2006 to 2011 1 swollen) process of diagnosis and treatment of relapse and analyze the causes of recurrence and put forward the need to pay attention to the relevant technical details. Results: Of the 325 patients relapsed in 28 cases, the wall of the cyst was insufficiently dissociated, the number of cyst wall excision was not enough in 7 cases (25.0%), and the number of 325 cases of simple renal cyst treated in laparoscopic surgery in February (412 kidneys 16 cases were not enough, accounting for 57.1% of the recurrence cases. The incidence of postoperative urinary cyst was misdiagnosed as cyst recurrence in 2 cases (7.1%) and in the other 3 cases (10.7%). Conclusion Laparoscopy is a safe and effective Of the treatment of simple renal cysts, select a reasonable surgical approach, while some of the technical aspects of rational use and improvement, help to reduce the recurrence rate.