酒精硬化治疗在腹腔镜肾囊肿去顶减压术中应用的疗效分析

冯越; 安瑞华

doi:10.13201/j.issn.1001-1420.2018.04.020

酒精硬化治疗在腹腔镜肾囊肿去顶减压术中应用的疗效分析

冯越,
安瑞华^,

- 哈尔滨医科大学附属第一医院泌尿外科(哈尔滨, 150001)

详细信息

通讯作者: 安瑞华,E-mail:ruihuaan@126.com

中图分类号: R699.2

收稿日期: 2017-03-25

Efficacy analysis of alcohol sclerotherapy in laparoscopic unroofing of renal cyst

FENG Yue,
AN Ruihua^,

- Department of Urology, First Affiliated Hospital of Harbin Medical University, Harbin, 150001, China

More Information

Corresponding author: AN Ruihua, E-mail: ruihuaan@126.com

Received Date: 25 March 2017

摘要

摘要: 目的:比较分析在腹腔镜去顶减压治疗单纯性肾囊肿手术过程中,联合应用囊腔酒精硬化,对减少术后囊壁渗出,降低复发率的影响。方法:选取2013年1月~2016年1月在我院行手术治疗的单纯性肾囊肿患者120例,随机分为观察组(n=60)和对照组(n=60),观察组行腹腔镜肾囊肿去顶减压术联合囊腔内注入95%无水酒精治疗,对照组仅行腹腔镜肾囊肿去顶减压术,分别比较两组患者手术时间、术中出血量、术后前5d每日引流量、术后总引流量、拔管时间、总住院时间以及术后6个月到1年的复发率。结果:观察组手术时间(78.73±23.92) min,对照组(79.88±21.78) min,两组比较差异无统计学意义(P＞0.05);观察组术中出血量(17.95±11.74) ml,对照组(16.48±13.25) ml,两组比较差异无统计学意义(P＞0.05);观察组住院时间(7.32±1.40) d,对照组(8.25±1.60) d,两组比较差异无统计学意义(P＞0.05);观察组术后总引流量(63.48±39.16) ml,对照组(284.37±151.21) ml,两组比较差异有统计学意义(P＜0.05);观察组拔管时间(3.65±0.46) d,对照组(6.65±1.36) d,两组比较差异有统计学意义(P＜0.05)。观察组术后随访无一例复发,对照组复发2例(3.33%),观察组复发率低于对照组,但差异无统计学意义。结论:在腹腔镜去顶减压治疗单纯性肾囊肿手术过程中联合应用囊腔酒精硬化治疗可以显著降低术后引流量、引流管留置时间及肾囊肿的复发率,值得在临床上推广。
- 肾囊肿 /
- 腹腔镜去顶减压术 /
- 酒精硬化
Abstract: Objective: To explore laparoscopy combined with alcohol sclerosing agent in treatment of simple renal cyst for reducing the postoperative capsule wall leakage and decreasing recurrence.Method: We chose 120 patients with simple renal cyst who had surgical treatment in our hospital from January 2013 to January 2016.These patients were divided into two groups randomly.Observation group with 60 patients were treated by laparoscopic renal cyst unroofing combined with capsule cavity injection of anhydrous alcohol 95%, while control group with 60 patients were only treated by laparoscopic renal cyst unroofing.Operation time, intraoperative blood loss, postoperative daily drainage volume in 5 days, postoperative total drainage volume, extubation time, total hospitalization time and postoperative recurrence rate in 6 months to one year were compared between two groups.Result: Operation time:the observation group (78.73±23.92) min, the control group (79.88±21.78) min, the difference was not statistically significant (P＞0.05); Intraoperative bleeding volume:the observation group (17.95±11.74) ml, the control group (16.48±13.25) ml, the difference was not statistically significant (P＞0.05); Hospitalization time:the observation group (7.32±1.40) d, the control group (8.25±1.60) d, the difference was not statistically significant (P＞0.05); The total postoperative drainage volume:the observation group (63.48±39.16) ml, the control group (284.37±151.21) ml, the difference was statistically significant (P＜0.05); Extubation time:the observation group (3.65±0.46) d, the control group (6.65±1.36) d, the difference was statistically significant (P＜0.05). Postoperative follow-up:no recurrence in observation group, the recurrence rate was 0%, while the control group had 2 cases of recurrence, the recurrence rate was 3.33%, the observation group was better than the control group, but the difference was not statistically significant (P＞0.05). Conclusion: In laparoscopic unroofing treatment of simple renal cyst combined with alcohol sclerosing can significantly reduce postoperative drainage, drainage tube indwelling time, renal cyst recurrence rate, so it is worthy of clinical promotion.
- renal cyst /
- laparoscopic unroofing /
- alcohol sclerotherapy

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参考文献(12)

[1]	Ellimoottil C, Greco K A, Hart S, et al.New modalities for evaluation and surveillance of complex renal cysts[J].J Urol, 2014, 192 (6):1604-1611.
[2]	刘健男, 刘亚东, 田河, 等.腹腔镜去顶减压与彩超引导下穿刺硬化治疗肾囊肿疗效的meta分析[J].临床泌尿外科杂志, 2017, 32 (2):112-117.
[3]	刘定益, 王健, 张翀宇, 等.三种不同手术方法治疗单纯性肾囊肿的比较[J].现代泌尿外科杂志, 2012, 17 (2):201-203.
[4]	何育霖, 宋东奎, 常连胜, 等.后腹腔镜多囊肾去顶术32例报告[J].临床泌尿外科杂志, 2016, 31 (10):932-934.
[5]	Efesoy O, Tek M, Bozlu M, et al.Comparison of singlesession aspiration and ethanol sclerotherapy with laparoscopic de-roofing in the management of symptomatic simple renal cysts[J].Turk J Urol, 2015, 41 (1):14-19.
[6]	周平, 汪俊州, 刘建平, 等.肾囊肿去顶术5年疗效随访 (附83例)[J].临床合理用药杂志, 2015, 8 (35):119-120.
[7]	袁铭, 柏宏伟, 钱叶勇, 等.腹腔镜技术治疗复发性肾囊肿的探讨[J].临床泌尿外科杂志, 2010, 25 (1):42-44.
[8]	Agarwal M M, Hemal A K.Surgical management of renal cystic disease[J].Curr Urol Rep, 2011, 12 (1):3-10.
[9]	胡兴平, 张力, 王豪, 等.后腹腔镜肾囊肿去顶减压术切除方法的改进[J].临床泌尿外科杂志, 2014, 29 (5):80-81.
[10]	熊晖, 王正, 相玉柱, 等.腹腔镜肾囊肿去顶减压术联合无水酒精囊内注入治疗单纯性肾囊肿[J].泌尿外科杂志 (电子版), 2012, 4 (4):14-17.
[11]	管建云.后腹腔镜去顶术联合石炭酸治疗肾囊肿32例观察[J].中国医学工程, 2014 (8):16-16.
[12]	Cho Y J, Shin J H.Comparison of acetic acid and ethanol sclerotherapy for simple renal cysts:clinical experience with 86patients[J].Springerplus, 2016, 5 (1):1-7.