输尿管软镜下钬激光切开内引流治疗肾盂旁囊肿的研究.doc

输尿管软镜下钬激光切开内引流治疗肾盂旁囊肿的研究.doc输尿管软镜下钬激光切开内引流治疗肾盂旁囊肿的研究【摘要】目的: 研究输尿管软镜下钬激光切开内引流治疗肾盂旁囊肿的效果。方法: 回顾性分析 2012 年1月-2014 年6 月笔者所在医院收治的 23 例肾盂旁囊肿患者的临床资料,男 14例,女9例, 年龄 32~ 65岁, 平均 48岁, 左侧 10例, 右侧 13例, 均为单侧单发肾盂旁囊肿, 直径 4~ 7 cm ,平均 cm ,均行输尿管软镜下肾盂旁囊肿钬激光切开内引流术。结果: 23 例患者手术均顺利完成,无中转开放。手术时间 25~ 60 min , 平均 36 min ,术中失血 5~ 25 ml 。术后住院 4~7d ,平均 5d 。术后定期随访 1~3 年, 21 例囊肿消失, 2 例囊肿明显缩小,未见囊肿复发。结论: 输尿管软镜下钬激光切开内引流治疗肾盂旁囊肿是一种安全、有效的微创方法,具有良好的疗效和明显的优势。【关键词】输尿管软镜; 钬激光; 肾盂旁囊肿中图分类号 文献标识码 B 文章编号 1674-6805 ( 2016 ) 10-0095-02 【 Abstract 】 Objective : To study the effect of flexible ureteroscope holmium laser incision drainage in the treatment of parapelvic : The clinical data of 23 patients with parapelvic cyst in our hospital from January 2012 to June 2014 were analyzed retrospectively , male 14 cases , female 9 cases , age 32-65 years old , average 48 years old , on the left side in 10 cases , 13 cases of right , both unilateral and solitary renal cyst , the diameter of 4-7 cm, average cm, underwent flexible ureteroscope holmium laser incision drainage in the treatment of parapelvic : 23 cases were pleted without conversion to operation time was 25-60 min , average 36 min , intraoperative blood loss was 5-25 postoperative hospital stay was 4-7 d, average 5 follow-up 1 year to3 years after surgery , the cyst disappeared in 21 cases ,2 cases of cysts reduced obviously , no recu