微创医学

目的探讨超声引导下经皮穿刺硬化治疗肾囊肿的临床价值。方法选择肾囊肿患者62例为研究对象，随机分为对照组和观察组，每组31例，对照组行后腹腔镜去顶术治疗，观察组行超声引导下经皮穿刺硬化治疗。对比两组的手术时间、术中出血量、住院时间及并发症等。结果对照组治愈25例，有效5例，无效1例。观察组治愈27例，有效4例，无效0例。两组临床疗效比较，差异无统计学意义（P＞0.05）；观察组手术时间、术中出血量及住院时间均少于对照组，两组比较，差异有统计学意义（P＜0.05）；观察组术后未发生明显并发症，对照组术后并发症发生率为19.35%（6/31），两组比较，差异有统计学意义（P＜0.05）。结论超声引导下经皮穿刺硬化手术治疗肾囊肿与腹腔镜去顶术的疗效相当，但前者手术创伤小，术后恢复快，且术后并发症少，在临床中具有良好的应用价值。

ObjectiveTo explore clinical effect of percutaneous puncture guided by ultrasound and sclerotherapy in the treatment of renal cyst. MethodsA total of 62 cases with renal cyst were recruited in our study and randomly divided into control group and observation group, 31 cases in each group. The control group was treated with retroperitoneal laparoscopy for unroofing of renal cyst, and the observation group were treated with percutaneous puncture guided by ultrasound and sclerotherapy. The clinical effect of two groups of patients, including operation time, intraoperative blood loss, hospital stay, and complications were compared. ResultsIn the control group, 25 cases were cured, 5 cases were effective, 1 cases were ineffective; In the observation group,27 cases was cured, 4 cases were effective, 0 case invalid. There were no significant differences in clinical efficacy between the two groups (P＞0.05). The operation time, bleeding volume and hospitalization time of the observation group were less than those of the control group, the difference was statistically significant (P＜0.05). The observation group did not have obvious complications after operation, and the postoperative complication rate was 19.35%, the difference was statistically significant (P＜0.05). ConclusionsThe efficacy of Ultrasound guided percutaneous puncture hardening in the treatment of renal cyst and retroperitoneal laparoscopy was quite effective, but the former small surgical trauma, postoperative recovery faster, and less postoperative complications, has good application value in clinical.