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目的:对比输尿管软镜下肾盂旁囊肿切开内引流术和后腹腔镜下肾盂旁囊肿去顶术的临床疗效。方法:回顾性分析2015年3月~2016年3月收治45例肾盂旁囊肿患者的临床资料,按手术方式分为输尿管软镜组和传统腹腔镜组,分别行肾盂旁囊肿切开内引流和肾盂旁囊肿去顶术,对比两组患者的手术时间、住院时间、住院费用及术后随访结果。结果:两组手术均顺利完成,术中、术后均无明显并发症,术后复查,肾囊肿与术前相比有明显缩小或消失,随访6~12个月两组患者均未出现复发,且输尿管软镜组在手术时间、住院时间及住院费用方面均优于传统腹腔镜组(P<0.05)。结论:超声引导下输尿管软镜钬激光切开内引流治疗肾盂旁囊肿疗效确切,更微创,且具有良好的安全性,值得临床推广。
OBJECTIVE: To compare the clinical efficacy of ureteropelvic cyst removal under ureteroscopy and retroperitoneal laparoscopic removal of renal pelvis cyst. Methods: The clinical data of 45 patients with psoas cyst treated in March 2015 to March 2016 were retrospectively analyzed. They were divided into ureteroscopy group and conventional laparoscopic group according to the operation method, Peritoneal cyst debridement surgery, compared two groups of patients operating time, hospital stay, hospitalization costs and postoperative follow-up results. Results: The two groups of operations were successfully completed. There were no obvious complications during and after operation. After the operation, the renal cysts were significantly reduced or disappeared compared with that before operation. No recurrence occurred in both groups , And the ureteroscopic group was superior to the traditional laparoscopic group in operation time, hospitalization time and hospitalization cost (P <0.05). Conclusions: Ultrasound - guided ureteroscopic holmium laser - guided internal drainage for the treatment of renal pelvis cyst is effective, minimally invasive, and has good safety, worthy of clinical promotion.