论文部分内容阅读
目的探讨肾盂旁囊肿的临床特点和治疗措施。方法回顾性分析67例肾盂旁囊肿患者的临床资料。根据影像学表现分为2型:Ⅰ型(单侧单发类圆形)囊肿39例,Ⅱ型(双侧多发蔓藤状)囊肿28例。根据影像结果及临床症状选择治疗方式:9例行后腹腔镜肾盂旁囊肿开窗去顶术,58例行保守治疗。结果手术治疗的患者症状及体征均消失,治疗满意,随访6个月至4年,肾功能正常。非手术治疗的患者定期随访,囊肿未见增大且症状轻微或缺如,病变稳定。结论肾盂旁囊肿的实际发病率可能被低估,Ⅱ型囊肿更易被误诊误治,其与Fabry病的关系有待观察。本病的影像学分型形象好记,方便指导临床治疗。后腹腔镜肾盂旁囊肿去顶术安全、有效,是目前首选手术方法。
Objective To investigate the clinical features and treatment of renal pelvis cyst. Methods A retrospective analysis of 67 cases of patients with renal pelvis cyst in clinical data. According to the imaging findings were divided into 2 types: type Ⅰ (unilateral single hair round type) cyst in 39 cases, type Ⅱ (bilateral multiple hair-like cysts) in 28 cases. According to the results of imaging and clinical symptoms to choose treatment: 9 cases of retroperitoneal pyloric cyst after fenestration, 58 cases of conservative treatment. Results Surgical treatment of patients with symptoms and signs disappeared, the treatment was satisfactory, followed up for 6 months to 4 years, normal renal function. Non-surgical treatment of patients regularly followed up, no increase in cysts and mild or absence of symptoms, stable disease. Conclusion The actual incidence of paravalveolar cyst may be underestimated, type Ⅱ cyst is more likely to be misdiagnosed and mistaken, and its relationship with Fabry disease remains to be seen. The image of the disease imaging type a good mind, easy to guide clinical treatment. Laparoscopic retroperitoneal cyst debridement surgery is safe and effective, is the preferred method of surgery.