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目的探讨用镜体直接分离建立后腹腔的方法(IUPU)与自制气囊两种建腔方式用于单孔单通道后腹腔镜肾囊肿手术中的综合疗效及安全性差异。方法将208例肾囊肿患者随机分为试验组和对照组各104例。试验组以IUPU法建立后腹腔经腹腔镜肾囊肿手术切除术,对照组经自制气囊法腹腔镜下肾囊肿手术切除术。观察2组手术情况、临床疗效及不良反应发生情况。结果试验组建腔时长短于对照组,手术时长长于对照组,差异均有统计学意义(P<0.05)。2组术中出血量、术后引流时间、术后住院时间及术后24h疼痛评分差异无统计学意义(P>0.05)。试验组总有效率低于对照组,差异有统计学意义(P<0.05)。试验组不良反应总发生率虽高于对照组,但差异均无统计学意义(P>0.05)。结论自制气囊建腔在单孔单通道后腹腔镜肾囊肿手术中的治疗效果较IUPU方式优越,且安全性无明显减退。
Objective To explore the difference between the two methods of establishing a posterior abdominal cavity (IUPU) and the self-made balloon in the method of single-hole single-channel laparoscopic renal cyst surgery. Methods 208 cases of renal cysts were randomly divided into experimental group and control group of 104 cases. The experimental group established laparoscopic retroperitoneal laparoscopic nephrectomy with IUPU method and the control group underwent laparoscopic renal cyst excision. The operative conditions, clinical efficacy and adverse reactions in the two groups were observed. Results The length of the cavity was shorter in the experimental group than in the control group, and the difference was statistically significant (P <0.05). There was no significant difference between the two groups in the amount of blood loss, postoperative drainage time, postoperative hospital stay and postoperative 24h pain score (P> 0.05). The total effective rate of the experimental group was lower than that of the control group, the difference was statistically significant (P <0.05). The total incidence of adverse reactions in the experimental group was higher than the control group, but the difference was not statistically significant (P> 0.05). Conclusion The self-made balloon in the cavity in the single-hole laparoscopic laparoscopic renal cyst surgery is superior to IUPU way, and no significant safety decline.