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目的:探讨腹腔镜肾囊肿去顶术治疗常染色体显性遗传多囊肾病的疗效。方法:对28例成人多囊肾病患者行腹腔镜下囊肿去顶减压术,其中行双侧腔镜肾囊肿去顶术12例,单侧腹腔镜肾囊肿去顶术16例,术中将所见囊肿尽可能去顶减压并吸尽囊液。结果:28例手术均获得成功,平均手术时间130min,失血量87ml,平均住院时间5.7d,无主要并发症发生。术后25例患者肾功能恢复良好,21例患者血压较术前下降明显。结论:腹腔镜肾囊肿去顶术具有创伤小、术后恢复快的优点,是目前治疗常染色体显性遗传多囊肾病安全有效的方法。
Objective: To investigate the effect of laparoscopic renal cyst detoxification on autosomal dominant polycystic kidney disease. Methods: 28 cases of adult patients with polycystic kidney disease underwent laparoscopic removal of cyst decompression surgery, including 12 cases of bilateral endoscopic renal cyst debridement, unilateral laparoscopic renal cyst debridement in 16 cases, intraoperative Cysts seen as much as possible to decompression and aspiration of cyst fluid. Results: All the 28 surgeries were successful. The average operation time was 130 minutes, the blood loss was 87ml and the average hospitalization time was 5.7 days. No major complications occurred. Renal function recovered well in 25 patients after operation, and blood pressure in 21 patients decreased significantly compared with that before operation. Conclusion: Laparoscopic renal cyst debridement has the advantages of less trauma and faster recovery after operation. It is a safe and effective method for the treatment of autosomal dominant polycystic kidney disease.