后腹腔镜囊肿去顶减压术治疗成人型多囊肾的临床分析

Clinical Analysis of Laparoscopic Cyst Decortication for Treatment of Adult Polycystic Kidney Sisease

目的分析并探讨后腹腔镜囊肿去顶减压术治疗成人型多囊肾的临床疗效,从而为临床治疗提供依据。方法选取2015年1月—2015年12月期间在该院接受治疗的成人型多囊肾患者100例,随机分为观察组与对照组,每组各50例。对照组采取传统的开放性肾囊肿去顶术进行治疗。观察组采用后腹腔镜囊肿去顶减压术进行治疗。观察并对比两组患者治疗效果。结果观察组手术时间为(127.35±24.62)min,术中失血量为(53.23±10.42)m L,肠道功能恢复时间为(17.23±3.62)h,下床活动时间为(31.23±5.71)h,住院时间为(4.60±2.53)d。对照组手术时间为(166.53±31.53)min,术中失血量为(246.21±147.69)m L,肠道功能恢复时间为(26.92±11.13)h,下床活动时间为(46.91±7.49)h,住院时间为(10.64±3.64)d。观察组手术时间明显短于对照组,术中失血量明显少于对照组,肠道回复时间、下床活动时间以及住院时间明显短于对照组。经统计学检验,差异具有统计学意义(P<0.05)。结论后腹腔镜囊肿去顶减压术治疗成人型多囊肾临床效果显著,术后恢复快,临床上值得推广。

Objective Laparoscopic cyst decortication clinical efficacy of the treatment of adult polycystic kidney disease, thus providing basis for clinical treatment. Methods Select period in the hospital for treatment of 100 patients with adult polycystic kidney disease from January 2015 to December 2015, were randomly divided into observation group and control group, 50 cases in each group. Results Observation group operation time was（127.35±24.62）min, intraoperative blood loss was（53.23±10.42）mL, intestinal function recovery time（17.23±3.62）h, ambulation time（31.23±5.71）h,hospitalized time（4.60±2.53）d. Group operation time was（166.53±31.53）min, intraoperative blood loss was（246.21±147.69）mL, intestinal function recovery time（26.92±11.13）h, ambulation time（46.91±7.49）h, hospitalized time（10.64±3.64）d. Conclusion Laparoscopic cyst decortication treatment of adult polycystic kidney disease a significant clinical effect, quick recovery, worthy of clinical.