首页|单孔后腔镜治疗肾盂旁囊肿的疗效及美观度分析

单孔后腔镜治疗肾盂旁囊肿的疗效及美观度分析

Effects of single-hole retroperitoneal laparoscopic surgery in treatment of parapelvic cyst and aesthetic analysis

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目的 探究单孔后腔镜治疗肾盂旁囊肿的临床疗效及美观度.方法 将本院收治的110例肾盂旁囊肿患者,按照治疗术式的不同分为单孔组(60例)和对照组(50例).对照组行传统三孔后腹腔镜手术治疗,单孔组则行单孔后腹腔镜手术治疗.比较两种术式的临床疗效及术后美观度.结果 单孔组手术时间明显长于对照组(P<0.05),但两组术中出血量、引流量、肠道恢复时间、引流管拔除时间及住院时间比较均无显著差异(P>0.05).术后第4d,单孔组的VAS评分低于对照组,而切口美观度评分高于对照组(P<0.05).术中转开放手术及术中并发症发生率比较,两组间也无明显差异(P>0.05).随访12个月,单孔组及对照组的术后并发症发生率分别为3.33%和2.00%(P> 0.05),且两组均未见囊肿复发.结论 在治疗肾盂旁囊肿上,单孔后腹腔镜手术的临床疗效与传统三孔后腹腔镜相同,虽然单孔后腹腔镜手术时间较长,但能够获得更好的美容效果.
Objective To explore the effects and make aesthetic analysis of single-hole retroperitoneal laparoscopic surgery in the treatment of parapelvic cyst.Methods A total of 110 patients with parapelvic cyst to receive treatment in our hospital were divided into a single-hole group (n=60) and a control group (n=50) according to different operation methods.The control group was treated with traditional three-hole rear laparoscopic surgery and the single-hole group with single-hole retroperitoneal laparoscopic surgery.The effects and postoperative aesthetics between the two operation methods were compared.Results The operation time in the single-hole group was much longer than that in the control group (P < 0.05),but there was no significant difference in the intraoperative amount of bleeding,drainage,intestinal recovery time,drainage tube removal time and the length of stay between the two groups (P > 0.05).On the fourth day after the operation,the VAS scores in the single-hole group were lower than those in the control group,while the aesthetic scores of incision were higher than those in the control group(P < 0.05).There was no significant difference in the rate of tuming to open operation during operation and the incidence of intraoperative complications between the two groups (P > 0.05).During the 12-month follow-up visit,the incidence of postoperative complications in the single-hole group and the control group was 3.33% and 2.00%,respectively (P > 0.05);there was no cyst recurrence in the two groups.~ In the treatment of parapelvic cyst,single-hole retroperitoneal laparoscopic surgery and traditional three-hole retroperitoneal laparoscopic surgery have the same effects.Although single-hole retroperitoneal laparoscopic surgery has longer operation time,the cosmetic effects are better.

pelviscystperitoneoscopesingle-holeeffectsaesthetics

章尹岗、刘文

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431700湖北天门,天门市第一人民医院泌尿外科

肾盂 囊肿 腹腔镜 单孔 疗效 美观度

2017

西南国防医药
成都军区医学科学技术委员会

西南国防医药

CSTPCD
影响因子:0.672
ISSN:1004-0188
年,卷(期):2017.27(12)
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