论文部分内容阅读
目的探讨肾囊肿患者行肾囊肿开窗术中应用改良二孔法腹腔镜手术的疗效及可行性。方法禹州市中心医院2012年1月至2013年12月间收治肾囊肿患者84例,按照手术方案分为常规组(三孔腹腔镜手术)和改良组(改良二孔腹腔镜肾囊肿开窗术),比较两组手术相关指标及复发情况。结果改良组患者手术时间明显短于常规组(P<0.05),两组术中出血量、术后排气时间、自主饮食时间及住院时间比较差异未见统计学意义(P>0.05);改良组术后并发症发生率(12.5%)与常规组(9.09%)相比差异未见统计学意义(P>0.05)。随访6个月~2年,两组患者均无一例复发(P>0.05)。结论肾囊肿开窗术中应用改良二孔法腹腔镜安全可行,且更为美观,值得临床推广应用。
Objective To investigate the efficacy and feasibility of applying modified two-hole laparoscopic surgery in renal cysts in patients with renal cysts. Methods 84 cases of patients with renal cysts were treated in Yuzhou Central Hospital between January 2012 and December 2013. The patients were divided into conventional group (three-hole laparoscopic surgery) and modified group (modified two-hole laparoscopic renal cyst) Surgery), compared the two groups of surgery-related indicators and recurrence. Results The operation time of the improved group was significantly shorter than that of the conventional group (P <0.05). There was no significant difference in the amount of bleeding, postoperative exhaust time, independent diet and hospital stay between the two groups (P> 0.05) The incidence of postoperative complications (12.5%) was not significantly different from that of the conventional group (9.09%) (P> 0.05). All cases were followed up for 6 months to 2 years, with no recurrence in both groups (P> 0.05). Conclusion The application of modified two-hole laparoscopy in renal cyst fenestration is safe and feasible, and it is more esthetic and worthy of clinical application.