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目的:探讨后腹腔镜与开放肾囊肿去顶术治疗肾多发性囊肿的临床效果。方法:收集52例肾多发性囊肿患者资料进行临床研究,其中28例采用后腹腔镜囊肿去顶术,24例经开放性囊肿去顶术,比较两种手术方式的手术时间、术中出血情况、术后镇痛药使用情况、术后下床活动时间、以及术后住院时间的差异。结果:两种手术方式都达到了很好的囊肿去顶的效果,后腹腔镜术式组在手术时间、术中出血情况、术后镇痛药使用情况、术后下床活动时间以及术后住院时间方面优于开放术式组(P<0.05)。结论:后腹腔镜术式组具有创伤小、恢复时间快、住院时间短的优点,应该首选用来治疗肾多发性囊肿,并且值得推广。
Objective: To investigate the clinical effect of retroperitoneal laparoscopy and open renal cyst debridement in the treatment of multiple renal cysts. Methods: Fifty-two patients with renal multiple cysts were collected for clinical study. Among them, 28 patients underwent retroperitoneoscopic laparoscopic cyst debridement and 24 patients underwent open cyst debridement. The operative time, intraoperative bleeding, , Postoperative analgesic use, postoperative ambulation time, and postoperative hospital stay. Results: Both of the two surgical procedures achieved a good effect of removing the top of the cyst. The posterior laparoscopic group had no significant difference in operation time, intraoperative bleeding, postoperative analgesic use, postoperative ambulation time, The hospital stay was superior to open surgery group (P <0.05). Conclusion: The retroperitoneal laparoscopic surgery group has the advantages of less trauma, faster recovery time and shorter hospital stay. It should be the first choice for the treatment of multiple renal cysts and is worth promoting.