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目的进一步提高腹腔镜肾囊肿去顶术的治疗效果。方法回顾性分析48例后腹腔镜下肾囊肿穿刺无水酒精硬化联合去顶术治疗易复发肾囊肿患者的临床资料。男性28例,女性20例。年龄31-76岁,平均56岁。其中单纯性深部肾囊肿(囊肿外露体积小于肾囊肿体积的1/3)30例,多发性肾囊肿6例,囊肿位于腹侧5例,肾盂旁囊肿4,肾盂源性囊肿2例,出血性肾囊肿1例,共计57个囊肿。囊肿直径3.0-11.0cm,平均直径6.8cm。结果 48例患者手术全部成功。手术顺利,未出现严重的并发症。手术时间平均55-123min,术中出血量30-100ml,平均1.8-4d下床活动,平均住院时间6.13-9d。术后随访6-12个月,未见复发。结论后腹腔镜下肾囊肿穿刺无水酒精硬化联合去顶术治疗易复发肾囊肿具有创伤小、出血少、恢复快、无复发的优点,是安全有效的治疗方法。
Objective To further improve the treatment of laparoscopic renal cyst debridement. Methods Retrospective analysis of 48 cases of retroperitoneal laparoscopic renal cyst puncture combined with alcohol sclerosis in the treatment of patients with recurrent renal cysts clinical data. 28 males and 20 females. Age 31-76 years old, average 56 years old. Among them, simple deep renal cysts (cyst size less than 1/3 of renal cyst volume), 30 cases of multiple renal cysts, 5 cases of cyst in the ventral, 4 cases of renal pelvis cyst, 2 cases of renal pelvis cysts, hemorrhagic 1 case of renal cysts, a total of 57 cysts. Cyst diameter 3.0-11.0cm, the average diameter of 6.8cm. Results All the 48 cases were successful. The operation was smooth and no serious complications occurred. The average operation time was 55-123min. The intraoperative blood loss was 30-100ml. The average time for bed entry was 1.8-4d, and the average hospitalization time was 6.13-9d. Follow-up 6-12 months after surgery, no recurrence. Conclusions Retroperitoneal laparoscopic renal cyst puncture with anhydrous alcohol sclerosis combined with debridement for the treatment of recurrent renal cysts has the advantages of less trauma, less bleeding, faster recovery and no recurrence, and is a safe and effective treatment.