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目的比较经皮穿刺硬化术与后腹腔镜去顶减压术治疗单纯性肾囊肿的临床疗效。方法选取2010年1月—2012年1月赣州市人民医院收治的单纯性肾囊肿患者98例,按手术方式不同分为A组47例与B组51例。A组患者行超声引导下经皮穿刺硬化术,B组患者行后腹腔镜肾囊肿去顶减压术。观察两组患者手术时间、术中出血量、视觉模拟评分法(VAS)评分、住院时间、并发症发生情况及复发情况。结果 A组患者手术时间、住院时间短于B组,术中出血量少于B组,VAS评分低于B组,复发率高于B组,差异有统计学意义(P<0.05);两组患者并发症发生率比较,差异无统计学意义(P>0.05)。结论经皮穿刺硬化术适用于治疗年老体弱、囊肿位于下极、背侧的患者,而囊肿位于上极、腹侧的患者应尽量选择后腹腔镜去顶减压术。
Objective To compare the clinical effects of percutaneous puncture sclerosis and retroperitoneal laparoscopic decompression in the treatment of simple renal cysts. Methods A total of 98 patients with simple renal cysts treated in Ganzhou People’s Hospital from January 2010 to January 2012 were selected and divided into group A (n = 47) and group B (n = 51) according to the operation method. Group A patients underwent ultrasound-guided percutaneous puncture sclerotherapy, patients in group B underwent retroperitoneal laparoscopic renal cyst decompression surgery. The operation time, intraoperative blood loss, visual analogue scale (VAS) score, length of hospital stay, complications and recurrence were observed. Results The operation time and hospital stay in group A were shorter than those in group B. The blood loss was less in group B than in group B, and the VAS score was lower than that in group B. The recurrence rate was higher in group A than in group B (P <0.05) There was no significant difference in the complication rates of patients (P> 0.05). Conclusion Percutaneous puncture and sclerotherapy is suitable for the treatment of elderly and infirm patients with cysts on the lower pole and dorsal side. Patients with cysts on the upper pole and the ventral side should choose retroperitoneal decompression.