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目的探讨微通道经皮肾穿刺内引流术治疗肾盂旁囊肿的手术方式、疗效及其安全性。方法收集46例肾盂旁囊肿患者的临床资料进行回顾性分析。统计手术时间、术中出血量、术后留置输尿管支架(D-J)管时间、术后患者合并LUS症状、住院周期、总住院费用、术后复查情况。结果 46例患者均顺利完成手术,手术时间20~65 min,术中出血量20~40 ml,无肾脏严重出血、肾周脏器损伤及感染等并发症,术后患者合并LUS症状6例,经过口服药物治疗症状缓解。术后随访6~24个月,未见复发。结论采用微通道经皮肾穿刺内引流术治疗肾盂旁囊肿,术中出血少、微创、住院周期短、疗效确切。
Objective To investigate the operation, efficacy and safety of microchannel percutaneous nephrolithotomy for renal pelvis cyst. Methods The clinical data of 46 patients with psoas cyst were collected retrospectively. Statistical operation time, intraoperative blood loss, postoperative ureteral stent (D-J) tube time, postoperative patients with LUS symptoms, hospitalization cycle, total hospital costs, postoperative review of the situation. Results All the 46 patients completed the operation successfully. The operation time was 20-65 minutes. The intraoperative blood loss was 20-40 ml. There were no severe renal hemorrhage, organ injury in the kidney and complications such as infection. There were 6 patients with postoperative LUS symptoms, After oral medication to relieve symptoms. Follow-up 6 to 24 months after operation, no recurrence was found. Conclusion Percutaneous nephroureterectomy with micro-percutaneous nephrolithotomy is an effective method for the treatment of renal pelvis cyst with less bleeding, minimally invasive surgery and shorter hospitalization period.