文档介绍:552·JournalofMinimallyInvasiveMedicine,Dec,2008,,▲王晓平蓝志相李恩春。黄延伟玉海杨金玉(1广西壮族自治区人民医院泌尿外科,南宁市530021;2广西中医学院,南宁市530021)【摘要】目的探讨应用输尿管镜技术处理肾囊肿的手术方法及其疗效和安全性。方法采用经尿道输尿管至肾盂径路,输尿管镜下观察肾囊肿对肾集合系统压迫情况,直视下用电刀将压迫肾盂明显处肾囊肿囊壁内切开,于肾集合系统隧通,并置双J管内引流。结果9例患者手术均成功。囊肿处理时间5—35rain,无严重并发症发生。术后随访3~9个月,平均6个月,结果5例囊肿消失,4例可见囊肿与集合系统相通,囊肿明显缩小,未见囊肿复发。结论经尿道输尿管镜技术处理肾囊肿具有安全、微创、近期疗效确切等优点,远期疗效有待进一步观察随访。【关键词l肾囊肿;输尿管镜技术;内切开引流术【中图分类号】R608;R692【文献标识码】A【文章编号】1673-6575(2008)06-0552-02Preliminaryresultsoftransurethalureteroscopicinsixionanddrainagetreatmentofre—nalcystWANGXiao-ping,I_ANZhi-xiang,LIEn—chun,HANGYah—wei,YUHai,YANGJin-yu(DepartmentofUrology,People&HospitalofGuangxiZhuangAutonomousRegion,NanningGnangxi530021,)【Abstract】0bjectiveToinvestigatethesurgerymethod,~temobviousoppressioncousedbyrenalcystwasobservedbytansurethalureteroscopy,andwascutandmarsupializedintotherenalpeMsbyelectroscalpel,。Thedurationofcystmanagingrangedfrom5to35mi-nutes,,thanaverageof6mouths,5casesre-nalcystsdisappeared,4casesrenalcystsdiminished,—.【Keywords】Renalcyst;Ureteroseopy