后腹腔镜与开放性去顶减压术治疗单纯性肾囊肿的比较

The Comparison of Retroperitoneal Laparoscopy and Open Renal Cyst Unroofing in the Treatment of Simple Renal Cyst

目的:比较后腹腔镜与开放性去顶减压术治疗单纯性肾囊肿的临床疗效及应用价值。方法:42例单纯性肾囊肿患者行后腹腔镜下肾囊肿去顶减压术(后腹腔镜组),40例行开放性肾囊肿去顶减压术(开放手术组),比较两组的手术时间、平均出血量、术后引流量、术后止痛药用量和术后住院天数。结果:后腹腔镜组手术时间、平均出血量、术后引流量、术后止痛药用量和术后住院天数均显著少于开放手术组(均为P<0.05)。结论:与传统的开放性手术相比,后腹腔镜肾囊肿去顶减压术具有创伤和痛苦较小,术中出血少,术后恢复快等优点,是治疗单纯性肾囊肿的理想方法,值得临床应用和推广。

Objective ：The study was going to compare the clinical effects and application value of retroperitoneal laparoscopy and open renal cyst unroofing in the treatment of simple renal cyst. Methods ：42 cases of simple renal cyst were performed with retroperitoneal laparoscopy unroofing for renal cyst （retroperitoneal laparoscopy group）, and 40 cases were performed with open unroofing for renal cyst （open surgery group）. The operative time, average blood loss, drainage quantity, acesodyne dosage and hospitalization time of two groups were compared. Results ：The operative time, average blood loss, drainage quantity, acesodyne dosage and hospitalization time of two groups of retroperitoneal laparoscopy group were significantly lower than those of open surgery group （ p 〈 0.05 ）. Conclusion ： Compared with traditional open surgery, retroperitoneal laparoscopy sur- gery has the advantages of little wound and suffering, less blood loss, and quick recovery, and can be an optimum method for curing simple renal cyst unroofing, which is worth spreading for clinical application.