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目的比较经皮穿刺硬化术和腹腔镜去顶术治疗单纯性肾囊肿的临床效果。方法将我院收治的210例单纯性肾囊肿患者随机分为两组各105例,观察组行经皮穿刺硬化术,对照组行腹腔镜去顶术,比较两组患者经治疗后的手术时间、住院时间、住院费用、手术成功率、并发症、复发情况。结果观察组平均手术时间、平均住院时间、平均住院费用均明显低于对照组,组间差异有统计学意义(P<0.01);两组患者的手术成功率无明显差异(P>0.05);观察组并发症发生率明显低于对照组(P<0.01);观察组16例复发,对照组1例,观察组明显高于对照组(P<0.01)。结论两组手术方法治疗单纯性肾囊肿均可起到满意疗效,但经皮穿刺硬化术创伤小、恢复快、并发症少、费用低,而腹腔镜去顶术适应症更广,复发少,可作为经皮穿刺硬化术禁忌症的补救方法。
Objective To compare the clinical effects of percutaneous puncture and laparoscopic debridement in the treatment of simple renal cysts. Methods A total of 210 cases of simple renal cysts treated in our hospital were randomly divided into two groups of 105 cases. The observation group received percutaneous puncture sclerosis and the control group received laparoscopic debridement. The operative time, Length of hospital stay, cost of hospitalization, success rate of surgery, complications, recurrence Results The average operation time, average length of hospital stay and average hospitalization cost of the observation group were significantly lower than those of the control group (P <0.01). There was no significant difference between the two groups in the success rate of operation (P> 0.05). The incidence of complications in the observation group was significantly lower than that in the control group (P <0.01). In the observation group, 16 patients relapsed and 1 patient in the control group. The observation group was significantly higher than that in the control group (P <0.01). Conclusion The two groups of surgical treatment of simple renal cysts can play a satisfactory effect, but percutaneous puncture and sclerotherapy less trauma, rapid recovery, fewer complications, low cost, and laparoscopic debridement more indications, less recurrence, Can be used as a percutaneous puncture sclerotherapy Remedy.