肾盂旁囊肿的诊断与治疗(附16例报道)

Diagnosis and treatment of parapelvic cyst( reports of 16 cases)

目的探讨肾盂旁囊肿的诊断与治疗方法。方法回顾性分析16例肾盂旁囊肿患者的临床资料,比较B超、IVP、CT及MRI等检查方法与手术方式在诊治肾盂旁囊肿中的应用意义。结果 5例行开放手术治疗,术后随访6个月～3年,无1例复发。5例行B超定位下经皮肾穿刺硬化术患者,复发2例。6例后腹腔镜下肾囊肿去顶减压术患者,均无肾血管及肾盂损伤并发症,1例因不能理想暴露而改行开放手术,术后随访1年时复发1例。结论 B超、IVP及CT是诊断肾盂旁囊肿常用的有效方法,B超与IVP结合可作为常规检查,CT对诊断该病准确率高,诊断困难时可行MRI检查。开放手术疗效确切,但微创手术是治疗肾盂旁囊肿的趋势。

Objective To evaluateihe diagnosis and treatment of parapelvic cyst. Methods A view of the diagnosis and treatment of 16 cases and an evaluation of the different means of diagnosis and treatment were carried out. Results All these cases were followed up for 6 to 36 months after operation. Five cases were treated with open surgery. No recurrence and complications occurred. Five cases received the method of percutaneous puncture and sclerosing treatment of renal cyst under B-ultrasound guidance, two of which were relapsing. Six cases of paraplvic cysts were treated with retroperitoneoscopic unroofing. No injury to the kidney pedicle or pelvis occurred. One case con- verted to open surgery. One case was relapsing after 12 months. Conclusions B supersonic exam,IVUP,CT exam are the most effective means to the diagnosis of this disease. B supersonic exam binding IVUP can be used as routine examinations. CT in the diagnosis of this disease was high accuracy. When there are difficulties of diagnosis, we can use MRI. Open sugery has curative effect, but minimally inva-sive surgery tends to be the prior treatments used in the future.