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Sci Rep:肾囊肿治疗最小化侵入方法-经皮输尿管镜激光去顶的研究

2017-11-09 AlexYang MedSci原创

大多数轻度肾囊肿几乎不需要治疗。当肾囊肿生长到足够大的时候,不管有什么症候,外科手术干预都是需要的。最近,有研究人员探索了一种新的方法-经皮输尿管镜激光去顶,并利用该技术对肾囊肿进行治疗,还对其进行了安全和治疗效果评估。研究包括了71名轻度肾囊肿病人,并且具有外科手术适应症,还包括了6名患有肾盂周围囊肿的病人和5名身体同侧结石共存的病人。在超声引导下,研究人员将一个18号针放置在囊肿腔内,并留置导

大多数轻度肾囊肿几乎不需要治疗。当肾囊肿生长到足够大的时候,不管有什么症候,外科手术干预都是需要的。最近,有研究人员探索了一种新的方法-经皮输尿管镜激光去顶,并利用该技术对肾囊肿进行治疗,还对其进行了安全和治疗效果评估。

研究包括了71名轻度肾囊肿病人,并且具有外科手术适应症,还包括了6名患有肾盂周围囊肿的病人和5名身体同侧结石共存的病人。在超声引导下,研究人员将一个18号针放置在囊肿腔内,并留置导丝,建立F22通道,并对囊肿壁外部薄壁部分利用铥激光或者钬激光进行分离和切割,还进行了病理学检查。同时,研究人员对肾结石进行了处理。对那些肾盂周围囊肿病人,研究人员利用一个双钩支架插入囊肿腔来组织自动关闭。平均的跟踪调查时间为11.7个月。研究结果发现,53名病人的囊肿被彻底的清除,在15名病人中,囊肿的大小变小到不到原来的一半,而在3名前囊肿病人中治疗失败,表明了经皮输尿管镜激光去顶技术在所选择的病人中,是一种有效的和低侵入性的治疗肾囊肿的方法。

原始出处:

Jia Hu, Najib Isse Dirie, Jun Yang et al. Percutaneous ureteroscopy laser unroofing-a minimally invasive approach for renal cyst treatment. Sci Rep. 31 Oct 2017.

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    2017-11-11 oliver169
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    2017-11-10 天涯183

    学习了.非常好的文章

    0

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