本文選題：輸尿管軟鏡 + CT　； 參考：《山西醫(yī)科大學(xué)》2017年碩士論文

【摘要】：目的:收集我院腎盂旁囊腫臨床病例,整理并查閱該疾病的的臨床相關(guān)數(shù)據(jù);通過療效的對比,比較經(jīng)皮腎鏡切開內(nèi)引流治療和輸尿管軟鏡切開內(nèi)引流術(shù)治療兩種方式療效優(yōu)劣。方法:回顧性分析2011年2月至2016年2月武警江蘇省總隊醫(yī)院腎盂旁囊腫經(jīng)皮腎鏡切開內(nèi)引流治療病患21例(A組)與輸尿管軟鏡切開內(nèi)引流治療病患23例(B組)的臨床病例。對兩組病人圍手術(shù)期相關(guān)指標相比較,結(jié)合數(shù)據(jù)類型選用X2檢驗或成組t檢驗。結(jié)果:1.兩組患者均手術(shù)成功,A組由于穿刺點不好,有1例患側(cè)出現(xiàn)出血,更改穿刺部位后手術(shù)順利完成;另外1例患者術(shù)后體溫升高至39.0℃,急診行血生化檢查提示血象升高,考慮患者術(shù)后感染,給予抗感染治療后,體溫恢復(fù)正常。B組有1例患者體溫升高,觀察患者病情,給予抗感染治療后,患者恢復(fù)正常。兩組患者術(shù)后并發(fā)癥、癥狀緩解率和復(fù)發(fā)率無顯著差異(P0.05)。2.A組患者手術(shù)平均用間(52.95±6.52)min與B組手術(shù)平均用間(54.78±8.44)min相差不大,無顯著差異(P0.05)。A組和B組術(shù)中平均失血量分別為(28.1±6.4)ml和(18.7±6.5)ml(P0.01),腸道恢復(fù)平均時間分別為(36.5±7.7)h和(15.4±2.5)h(P0.01),臥床平均時間分別為(2.1±0.6)d和(1.4±0.5)d(P0.01),術(shù)后住院平均時間為(5.3±1.0)d和(3.9±0.7)d(P0.01),B組患者明顯好于A組手術(shù)方式。結(jié)論:1.腎盂旁囊腫開窗內(nèi)引流采用輸尿管軟鏡和經(jīng)皮腎鏡的手術(shù)時間差異無統(tǒng)計學(xué)意義。經(jīng)皮腎鏡開窗內(nèi)引流治療腎盂旁囊腫與輸尿管軟鏡下鈥激光切開內(nèi)引流治療腎盂旁囊腫手術(shù)時間無明顯差異,說明隨著近些年微創(chuàng)手術(shù)治療理念在泌尿外科的不斷運用,兩種手術(shù)方式在臨床上已成熟的運用于治療腎盂旁囊腫。2.腎盂旁囊腫開窗內(nèi)引流采用輸尿管方式較經(jīng)皮腎鏡方式在術(shù)中失血量、術(shù)后腸道功能恢復(fù)時間、術(shù)后臥床天數(shù)、術(shù)后住院天數(shù)明顯優(yōu)勢。輸尿管軟鏡經(jīng)人體自然通道,對機體損傷小,更安全、痛苦小等優(yōu)點,值得臨床上更多的推廣運用。
[Abstract]:Objective: to collect the clinical data of parapelvic cysts in our hospital and to review the clinical data of the disease. To compare the efficacy of percutaneous nephrolithotomy with internal drainage and soft ureteroscopy with internal drainage. Methods: from February 2011 to February 2016, 21 patients with parapelvic cysts treated with percutaneous nephroscopic internal drainage (group A) and 23 patients with soft ureteral drainage (group B) were analyzed retrospectively. Two groups of patients in perioperative period were compared, combined with data type X 2 test or group t test. The result is 1: 1. One patient in group A had bleeding on the affected side and the operation was completed successfully after the puncture site was changed, and the temperature of the other patient rose to 39.0 鈩，

本文編號：1784362