本文選題：腎盂旁囊腫 + 經(jīng)皮腎穿刺內(nèi)引流術(shù)��； 參考：《鄭州大學(xué)》2014年碩士論文

【摘要】：目的與背景 通過分析相關(guān)的臨床資料，查閱與腎盂旁囊腫有關(guān)的文獻(xiàn)，探討經(jīng)皮腎穿刺內(nèi)引流技術(shù)治療腎盂旁囊腫的臨床療效。腎盂旁囊腫是腎囊腫這類疾病中較為特殊的一種，囊腫鄰近腎盂或腎盞，臨床上較少見，因囊腫壓迫腎臟集合系統(tǒng)而出現(xiàn)腰疼、血尿、高血壓及腎積水等，因囊腫與腎動(dòng)脈、腎靜脈及腎盂關(guān)系密切，手術(shù)較難處理。傳統(tǒng)開放性囊腫去頂減壓術(shù)創(chuàng)傷較大，目前國內(nèi)多使用腹腔鏡技術(shù)治療腎盂旁囊腫，關(guān)于經(jīng)皮腎穿刺內(nèi)引流治療腎盂旁囊腫的方式較少。 方法 回顧性分析2010年6月至2012年6月鄭州大學(xué)第一附屬醫(yī)院泌尿外科收治的11例腎盂旁囊腫患者的臨床資料，，11例均行經(jīng)皮腎穿刺手術(shù)治療，術(shù)后患者均得到隨訪，觀察患者術(shù)后癥狀恢復(fù)情況。 結(jié)果 11例患者手術(shù)均獲成功，手術(shù)時(shí)間28~65min，平均40min，術(shù)中出血量15~35ml，平均出血25ml。無大出血，腎盞撕裂，腎盂損傷等。平均住院5d，術(shù)后第2天可進(jìn)食，第3天可下床活動(dòng)。術(shù)后隨訪1~3年，無復(fù)發(fā)。結(jié)論 經(jīng)皮腎穿刺內(nèi)引流治療腎盂旁囊腫是一個(gè)相對(duì)來說簡(jiǎn)單的手術(shù)，具有創(chuàng)傷小，出血少，恢復(fù)快，療效確切等優(yōu)點(diǎn)，可以作為腎盂旁囊腫的有效治療方法。
[Abstract]:Purpose and background By analyzing the relevant clinical data and consulting the literature related to parapelvic cysts, the clinical effect of percutaneous renal puncture and internal drainage in the treatment of parapelvic cysts was discussed. Parapelvic cysts are one of the special diseases of renal cysts. The cysts are adjacent to the renal pelvis or calyceus. They are rare in clinic. They cause pain in the waist, hematuria, hypertension, hydronephrosis, etc., due to the cysts and renal arteries. The renal vein and renal pelvis are closely related, and the operation is difficult to deal with. The traditional open cyst decompression surgery is more traumatic. At present, laparoscopic treatment of parapelvic cysts is mostly used in China, and there are few methods of percutaneous renal puncture and internal drainage for parapelvic cysts. Method From June 2010 to June 2012, the clinical data of 11 patients with parafelvic cysts treated in Urology, the first affiliated Hospital of Zhengzhou University, were retrospectively analyzed. To observe the recovery of symptoms after operation. Result The operative time was 2865 min (mean 40 min). The blood loss during operation was 1535 ml with an average bleeding of 25 ml. No massive bleeding, laceration of calyceal, injury of renal pelvis, etc. The average hospital stay was 5 days, the second day after operation, and the third day, you could get out of bed. Follow-up for 1 to 3 years showed no recurrence. Conclusion Percutaneous renal puncture and internal drainage is a relatively simple operation for parapelvic cysts, which has the advantages of less trauma, less bleeding, quick recovery and accurate curative effect. It can be used as an effective method for the treatment of parapelvic cysts.
【學(xué)位授予單位】：鄭州大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2014
【分類號(hào)】：R699

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 何朝輝;李遜;曾國華;何永忠;王露萍;;微創(chuàng)經(jīng)皮腎技術(shù)治療單純性腎囊腫18例[J];廣州醫(yī)學(xué)院學(xué)報(bào);2006年01期

2 曾偉;易克銀;李靖;宋衛(wèi)東;;后腹腔鏡腎盂旁囊腫去頂術(shù)與開放手術(shù)療效比較[J];實(shí)用醫(yī)藥雜志;2009年02期

3 蔣紹博,金迅波,熊暉;經(jīng)腹腔路徑腹腔鏡中上段輸尿管結(jié)石切開取石術(shù)療效觀察(附12例報(bào)告)[J];山東醫(yī)藥;2003年18期

4 邵世修;張淑香;尚東浩;王曉;董勝國;;腹腔鏡囊腫去頂術(shù)治療腎盂旁囊腫和腎外周囊腫效果比較[J];山東醫(yī)藥;2007年08期

5 全昌斌;王強(qiáng);袁小東;張婭麗;秦崇;蔡明;安東立;;腎盂旁囊腫67例臨床分析[J];山西醫(yī)藥雜志(下半月刊);2012年12期

6 丘少鵬,鄭克立,曾金云,鄭朝旭,吳志棉;后腹腔鏡新技術(shù)治療腎盂旁囊腫[J];中國內(nèi)鏡雜志;1998年01期

7 那彥群，李雙利，郭應(yīng)祿;腹腔鏡切除腎囊腫[J];中華泌尿外科雜志;1994年05期

8 李澤良,孔垂?jié)?王毅,畢建斌,趙丹懿;腎盂旁囊腫[J];中華外科雜志;2003年03期

9 謝立平,何華東,張冰,秦杰;腎盂源性囊腫14例診治分析[J];浙江醫(yī)學(xué);2004年02期

10 趙磊;馬潞林;黃毅;;腹腔鏡治療腎盂旁囊腫10例[J];中國微創(chuàng)外科雜志;2006年03期

本文編號(hào)：1913012