老年背侧肾囊肿患者应用经皮肾镜肾囊肿去顶减压术的临床效果观察

Clinical Effect of Percutaneous Nephroscope De-roofing and Decompression of Renal Cyst in Elderly Patients with Dorsal Renal Cyst

目的:探究老年背侧肾囊肿患者应用经皮肾镜肾囊肿去顶减压术的临床效果。方法:选择2019年11月1日-2020年5月1日在本院接受治疗的老年背侧肾囊肿患者70例作为研究对象,按照随机数字表法分为观察组和对照组,每组35例。对照组接受传统开腹术治疗,观察组接受经皮肾镜肾囊肿去顶减压术治疗,对比两组治疗效果。结果:观察组手术时间、术后排气时间及住院时间均显著短于对照组,术中出血量少于对照组,差异均有统计学意义(P<0.05)。两组术前POP、HCT、HGB比较,差异均无统计学意义(P>0.05);观察组术后1 d的POP显著低于对照组,HCT、HGB均显著高于对照组,差异均有统计学意义(P<0.05)。观察组术后并发症发生率低于对照组(χ^(2)=6.437,P=0.011)。两组总有效率比较,差异无统计学意义(χ^(2)=0.012,P=0.986)。观察组显效率高于对照组(χ^(2)=5.510,P=0.019)。结论:老年背侧肾囊肿患者应用经皮肾镜肾囊肿去顶减压术治疗可显著减少术中出血量,缩短手术时间与住院时间,有效改善血流动力学,且治疗安全性更高。

Objective:To explore the clinical effect of percutaneous nephroscope de-roofing and decompression of renal cyst in the treatment of elderly patients with dorsal renal cyst.Method:A total of 70 elderly patients with dorsal renal cyst treated in our hospital from November 1,2019 to May 1,2020 were selected as the research objects.They were randomly divided into the control group and the observation group,35 cases in each group.The control group received traditional laparotomy,the observation group received percutaneous nephroscope de-roofing and decompression of renal cyst.The therapeutic effects of two groups were compared.Result:The operation time,postoperative exhaust time and hospital stay in the observation group were significantly shorter than those in the control group,the intraoperative blood loss was lower than that in the control group,the differences were statistically significant (P<0.05).There were no significant differences in POP,HCT,HGB between two groups before operation (P>0.05).At 1 d after operation,POP of the observation group was significantly lower than that of the control group,and HCT and HGB were significantly higher than those of the control group,the differences were statistically significant (P<0.05).The incidence of postoperative complications in the observation group was lower than that in the control group (χ;=6.437,P=0.011).There was no significant difference in the total effective rate between the two groups (χ;=0.012,P=0.986).The effective rate of the observation group was higher than that of the control group (χ;=5.510,P=0.019).Conclusion:Percutaneous nephroscope de-roofing and decompression of renal cyst in the treatment of elderly patients with dorsal renal cyst can significantly reduce the amount of blood loss,shorten the operation time and hospitalization time,effectively improve the hemodynamics of patients,and the treatment safety is higher.