单纯性肾囊肿应用不同术式治疗的效果比较

Comparison of different surgical in the treatment of simple renal cysts

目的 探讨并分析单纯性肾囊肿应用不同术式治疗的效果比较.方法 选取本院于2014年6月至2016年7月期间收治的单纯性肾囊肿108例,将所有患者按照随机数字表法分为试验组和对照组两组;试验组50例患者行经皮肾穿刺并无水酒精硬化（PAES）术,对照组58例患者行腹腔镜肾囊肿去顶术.采集患者术后恢复状况、手术疗效以及所花费用等资料,并进行统计分析对比.结果 患者年龄、性别、肾囊肿部位、肾囊肿分型等资料比较差异无统计学意义（P＞0.05）.两组患者的并发症发生率与手术治愈率与所选治疗方式无明显关联,差异比较无统计学意义（P＞0.05）.两组患者的手术用时、治疗所花费用、手术后住院时间与所选治疗方式有一定关联结果,差异比较具有统计学意义（P＜0.05）.术后随访两组患者12个月,其中试验组所吸出囊液平均量（135±17.9）mL,注入所需99％无水酒精平均量（34 ±6.4） mL;所有患者抽出囊液颜色均为浅黄色或无色,细菌培养及细胞检查均无阳性;对照组术后随访情况：囊肿未复发患者55例,复发行二次手术患者3例.结论 对肾囊肿需手术治疗患者而言,PAES和经腹腔镜肾囊肿去顶术各有优劣势,具体实施方案需根据患者自身状况决定.对于单纯性肾囊肿并期望所花费用不高患者,对比于腹腔镜肾囊肿去顶术,PAES术具有并发症少、治疗承担费用低、患者遭受痛苦轻以及患者恢复较快等优势;而腹腔镜肾囊肿去顶术适用于其他类型肾囊肿患者,包括巨大肾囊肿、多发双肾囊肿或恶性无法排除等患者;若患者经PEAS疗效不佳甚至无效或者实施经皮肾穿刺不易者,均应考虑行腹腔镜肾囊肿去顶术.

Objective To explore and analyze the effect of different surgical in the treatment of simple renal cysts.Methods A total of 108 patients with simple renal cysts in our hospital from June 2014 to July 2016 were selected.All patients were randomly divided into experimental group and control group.In the experimental group,50 patients were treated with percutaneous renal puncture and absolute alcohol （PAES）,and 58 patients in the control group were treated with laparoscopic renal cyst.Postoperative recovery condition,operation effect and the cost of the patients were collected and compared with the statistical analysis.Results There was not statistically significant in age,gender,.renal cyst,renal cyst type data between the two groups （P ＞ 0.05）.The incidence of complications in the two groups was not significantly associated with the rate of surgical treatment and the choice of treatment,and the comparison was not statistically significant （P ＞ 0.05）.Operation time,the cost of treatment,hospitalization time after surgery and the selected treatment had a certain correlation results,the difference was statistical significant （P ＜ 0.05）.The postoperative follow-up of two patients for 12 months,the average amount of epispastic bursa fluid in the experimental group was （135 ± 17.9）mL,99％ ethanol injection required average （34 ± 6.4） mL.Extraction of cystic fluid colors of all pa tients were light yellow or colorless,bacterial culture and cell examination showed no positive control.Postoperative data of follow-up were postoperative cyst without recurrence in 55 cases and relapsed operation in 3 cases.Conclusions For patients with renal cysts,PAES and laparoscopic renal cyst to the top of each have advantages and disadvantages,the specific implementation of the program should be based on the patient＇s own situation.PAES surgery has advantages of fewer complications,low expense,less pain,quick recovery.And laparoscopic renal cyst removal is applicable to other types of renal cyst patients,including huge renal cysts,multiple renal cysts or malignant patients can not be excluded.If the patient is poor or ineffective by PEAS or the implementation of percutaneous renal puncture is not easy,should be considered to go to the top of the laparoscopic renal cyst.