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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

肾囊肿激光切除新方法
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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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    2018-03-10 ms3892185887221420

    #输尿管镜#

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    2018-10-15 12498bb3m97(暂无昵称)

    #输尿管#

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    2017-11-11 oliver169

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    2017-11-11 12498ca5m83暂无昵称

    #囊肿#

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    2017-11-11 s_pl2010

    #肾囊肿#

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=1663647, encodeId=06c5166364e8f, content=<a href='/topic/show?id=abff93e7720' target=_blank style='color:#2F92EE;'>#输尿管镜#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=93777, encryptionId=abff93e7720, topicName=输尿管镜)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=fd0925654465, createdName=ms3892185887221420, createdTime=Sat Mar 10 15:58:00 CST 2018, time=2018-03-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1640834, encodeId=9b6b16408347d, content=<a href='/topic/show?id=6ead93e7366' target=_blank style='color:#2F92EE;'>#输尿管#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=93773, encryptionId=6ead93e7366, topicName=输尿管)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d9f722746129, createdName=12498bb3m97(暂无昵称), createdTime=Mon Oct 15 15:58:00 CST 2018, time=2018-10-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1279696, encodeId=1df312e969608, content=<a href='/topic/show?id=265c66e50ea' target=_blank style='color:#2F92EE;'>#激光#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=66750, encryptionId=265c66e50ea, topicName=激光)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4fd6156, createdName=oliver169, createdTime=Sat Nov 11 11:58:00 CST 2017, time=2017-11-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1340759, encodeId=90d11340e5906, content=<a href='/topic/show?id=74a140404de' target=_blank style='color:#2F92EE;'>#囊肿#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=40404, encryptionId=74a140404de, topicName=囊肿)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=32a12500167, createdName=12498ca5m83暂无昵称, createdTime=Sat Nov 11 11:58:00 CST 2017, time=2017-11-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1471848, encodeId=718114e1848e7, content=<a href='/topic/show?id=4c4c8251e79' target=_blank style='color:#2F92EE;'>#肾囊肿#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=82517, encryptionId=4c4c8251e79, topicName=肾囊肿)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=91f67178238, createdName=s_pl2010, createdTime=Sat Nov 11 11:58:00 CST 2017, time=2017-11-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=260292, encodeId=3552260292a1, content=学习了.非常好的文章, beContent=null, objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7LIiaRZTzJ3SEfiauCzTMPW7YvPPYLNJBXG9oh6Al1icq2VQQkIHWxqXehcicTS62YKJVBhxeth3wggw/0, createdBy=7ce01621306, createdName=天涯183, createdTime=Fri Nov 10 15:31:12 CST 2017, time=2017-11-10, status=1, ipAttribution=)]
    2017-11-10 天涯183

    学习了.非常好的文章

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