医药学论文：单纯性肾囊肿经皮穿刺硬化和腹腔镜去顶术对比研究

【摘要】 目的 探讨经皮穿刺硬化术和腹腔镜去顶术在单纯性肾囊肿治疗中的价值。方法 45例单纯性肾囊肿，采用经皮穿刺硬化24例，腹腔镜去顶术21例。对临床疗效、术后恢复及费用进行对比研究。结果 经皮穿刺硬化和腹腔镜去顶减压术两组疗效比较差别无显著性，P>0.05(P=0.432)。穿刺硬化组无术后并发症，腹腔镜组术后并发症发生率为14％(3／21)，穿刺硬化组的平均住院时间为10d，术后住院时间为3d，腹腔镜组为16d和10d，两组总住院时间和术后住院时间比较差异均有非常显著性，P均< 0.01(P值分别为0.003和0.001)。同年两组的住院及手术费用比较差异也有显著性，穿刺硬化组各项费用明显较低。结论 经皮穿刺硬化和腹腔镜去顶术治疗单纯性肾囊肿对比，疗效相似，但前者创伤小、痛苦小、恢复快、并发症少、费用低、可以门诊施治，应作为单纯性肾囊肿的首选治疗方法。
【关键词】 肾囊肿 B超 经皮穿刺 腹腔镜
【Abstract】 Objective To evaluate percutaneous sclerotherapy and laparoscopic de-roofing in the treatment of simple renal cysts.Methods 45 patients with simple renal cysts were operated using sclerotherapy in 24 cases and laparoscopy in 21 cases.The clinical effectiveness，post-operative recovery and expenditure of these two groups were compared.Results There was no difference between sclerotherapy and laparoscopic de-roofing(P>0.05，P=0.432).No complications were happened in group of sclerotherapy，the incidence rate of complications in laparoscopy group was 14％(3／21).Patients recovered more quickly in sclerotherapy group than in laparoscopy，and the expenditure was lower.The mean hospitalization of sclerotherapy was 10 days，the group of laparoscopy was 16 days.When after operations，the mean hospitalization of group sclerotherapy was 3 days，the group of laparoscopy was 10 days (P< 0.01).Conclusion percutaneous sclerotherapy has the same therapeutic effect as laparoscopic de-roofing with minimal invasive，less suffering and complications，quicker recovery and smaller expenditure，and even can be easy done without hospitalizaton.It should be the first choice to treat simple renal cysts.
【Key words】 renal cyst ultrasound percutaneous puncture laparoscopy
为探讨经皮穿刺硬化术和腹腔镜去顶术在单纯性肾囊肿治疗中的价值。本院2002年1月～2004年8月，对24例单纯性肾囊肿施行经皮穿刺硬化术与同期21例腹腔镜肾囊肿去顶术资料进行对比研究，现报告如下。
1 资料与方法
1.1 一般资料 45例单纯性肾囊肿术均行B超、CT、静脉尿路道影(IVU)明确诊断。两组患者年龄构成见表1，肾囊肿大小构成见表2，两组差异均无显著性(P＞0.05)。