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目的:提高对肾盏憩室的诊断、鉴别与治疗水平。方法:回顾性分析1998～2008年17例予部分切除术的肾盏憩室(13例经开放手术、4例经后腹腔镜手术)的病历资料及回访结果。结果:16例术前诊断为肾盏憩室,1例术前诊断为肾囊肿,术中证实为肾盏憩室。所有病例均获痊愈,其中6例出现漏尿。根据憩室的大小及伴随症状将行部分切除的憩室分成三类。结论:肾盏憩室部分切除术后,发生漏尿与憩室的大小有关。采用开放手术和后腹腔镜治疗肾盏憩室,均能获得满意结果。
Objective: To improve the diagnosis, identification and treatment of calyceal diverticulum. Methods: A retrospective analysis of 17 cases of partial rectal calyceal diverticulum (13 cases underwent open surgery and 4 cases underwent laparoscopic surgery) were retrospectively analyzed. Results: 16 cases were diagnosed as calyceal diverticulum preoperatively, 1 case was diagnosed as renal cyst preoperatively, and calyceal diverticulum was confirmed during operation. All cases were cured, 6 cases of leakage of urine. According to the size of the diverticulum and accompanying symptoms will be diverted part of the diverticulum is divided into three categories. Conclusions: After partial resection of the calyceal diverticula, leakage of urine and the size of the diverticulum are related. The use of open surgery and retroperitoneal laparoscopic calyceal diverticulum, can obtain satisfactory results.