单纯性肾囊肿后腹腔镜肾囊肿穿刺硬化联合去顶术的效果及安全性

Effect and security of retroperitoneal laparoscopic renal cyst puncture and sclerotherapy combined with unroofing in patients with simple renal cyst

目的探讨单纯性肾囊肿患者采用后腹腔镜肾囊肿穿刺硬化联合去顶术的临床疗效及安全性。方法选取2019年9月至2020年9月遵义医科大学第五附属(珠海)医院收治的60例单纯性肾囊肿患者为研究对象,采用随机数字表法将其分为对照组(n=30)和观察组(n=30)。对照组患者行后腹腔镜肾囊肿去顶术干预,观察组患者行后腹腔镜肾囊肿穿刺硬化联合去顶术干预。两组患者均观察6个月。比较两组患者的治疗总有效率以及术中出血量、引流量、住院时间、费用,并比较两组的并发症总发生率及复发率。结果观察组患者的治疗总有效率高于对照组,差异有统计学意义(P<0.05);观察组患者的住院时间短于对照组,术中出血量、引流量、费用少于对照组,差异有统计学意义(P<0.05);观察组患者的并发症总发生率、复发率低于对照组,差异有统计学意义(P<0.05)。结论后腹腔镜肾囊肿穿刺硬化联合去顶术治疗单纯性肾囊肿有效,可缩小患者囊肿大小,加快术后恢复,降低术后复发率,安全性高,医疗费用少,值得在临床推广。

Objective To investigate the clinical effect and security of retroperitoneal laparoscopic renal cyst puncture combined and sclerotherapy with unroofing in patients with simple renal cyst.Methods A total of 60 patients with simple renal cyst treated in the Fifth Affiliated Hospital of Zunyi Medical University(Zhuhai)from September 2019 to September 2020 were selected as the research objects,and they were divided into the control group(n=30)and the observation group(n=30)according to random number table method.The patients in the control group were treated with retroperitoneal laparoscopic renal cyst unroofing,the patients in the observation group received retroperitoneal laparoscopic renal cyst puncture and sclerotherapy combined with unroofing.The two groups were observed for 6 months.The total effective rate,bleeding volume during operation,drainage volume,hospital stay and cost of the two groups were compared,and the total incidence of complications and the recurrence rate of the two groups were compared.Results The total effective rate of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).The hospital stay of the observation group were shorter than that of the control group,and the amount of bleeding during operation,drainage volume and cost of the observation group were less than those of the control group,the differences were statistically significant(P<0.05).The total incidence of complications and the recurrence rate in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion Retroperitoneal laparoscopic renal cyst puncture and sclerotherapy combined with unroofing is effective in the treatment of simple renal cyst,which can reduce the size of the cyst,accelerate the postoperative recovery,reduce the recurrence rate,has high safety and low medical cost,and is worthy of clinical promotion.