后腹腔镜多囊肾去顶术32例报告

详细信息

收稿日期: 2015-10-01

Received Date: 01 October 2015

摘要: 目的:观察经腹膜后入路腹腔镜多囊肾囊肿去顶减压术的临床疗效。方法:对我院2009年7月~2015年1月确诊并收治的32例成人型多囊肾患者进行临床观察研究,患者全部实施后腹腔镜肾囊肿去顶减压术,采用分期单侧治疗方法。观察治疗前后肾功能、腰部疼痛及血压等指标的改善情况。结果:32例手术均获成功,无输血及中转开放手术。术前血清肌酐为(284.82±61.11)μmol/L,术后3个月为(215.12±47.03)μmol/L;术前血尿素氮(25.35±6.10)mmol/L,术后3个月为(17.5±5.11)mmol/L;手术前后比较,均P＜0.01。术前收缩压(150.13±33.58)mmHg、舒张压(101.85±18.83)mmHg,术后3个月收缩压(130.37±21.15)mmHg、舒张压(85.64±11.12)mmHg;手术前后比较,均P＜0.05,术后患者腰腹部不适症状较术前明显缓解。结论:后腹腔镜肾囊肿去顶减压术治疗成人型多囊肾方法安全、有效,术后可改善肾功能,减轻患者腰腹部疼痛症状,是治疗成人多囊肾安全有效的方法。
- 多囊肾 /
- 后腹腔镜 /
- 去顶减压术 /
- 血压 /
- 肾功能

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