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目的:探讨应用后腹腔镜在结核性无功能性肾切除的临床价值。方法:回顾分析2008年9月~2013年3月对22例结核性无功能肾患者行后腹腔镜肾切除术的临床资料。结果:22例手术均顺利完成,无中转开放手术。手术时间70~140min,平均90min。术中失血量40~350ml,平均100ml。术后住院4~8d,平均6d。术中4例肾包膜撕裂少许干酪样脓液外渗,6例腹膜损伤。所有患者切口均一期愈合。术中术后无明显并发症。术后随访6~36个月,平均12个月,对侧肾功能正常。结论:后腹腔镜结核肾切除术是一种安全、有效的微创治疗方法,因其创伤小、出血少、恢复快,值得进一步临床推广。
Objective: To investigate the clinical value of retroperitoneal laparoscopy in tuberculous non-functional nephrectomy. Methods: The clinical data of 22 cases of tuberculous non-functional renal nephrectomy treated with retroperitoneal laparoscopic nephrectomy from September 2008 to March 2013 were retrospectively analyzed. Results: All the 22 cases were successfully completed without open surgery. Surgery time 70 ~ 140min, an average of 90min. Intraoperative blood loss 40 ~ 350ml, an average of 100ml. After hospitalization 4 ~ 8d, an average of 6d. Four cases of renal capsule tear a little caseous pus extravasation, 6 cases of peritoneal injury. All patients were incision healing. No obvious postoperative complications. The patients were followed up for 6 to 36 months, with an average of 12 months. The contralateral kidney function was normal. Conclusions: Retroperitoneal tuberculous nephrectomy is a safe and effective minimally invasive treatment. Because of its less trauma, less bleeding and rapid recovery, it is worth further clinical promotion.