[1]李强曹贵华刘亮程李伟李铁军.头端可弯曲负压吸引软镜鞘联合钬激光治疗肾盂旁囊肿[J].中国微创外科杂志,2026,01(4):226-231.
　Li Qiang,Cao Guihua,Liu Liangcheng,et al.Flexibletip Negative Pressure Suction Sheath Combined With Holmium Laser in the Treatment of Parapelvic Cysts[J].Chinese Journal of Minimally Invasive Surgery,2026,01(4):226-231.
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头端可弯曲负压吸引软镜鞘联合钬激光治疗肾盂旁囊肿()

《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2026年4期
页码:
226-231
栏目:
临床研究
出版日期:
2026-04-24

文章信息/Info

Title:
Flexibletip Negative Pressure Suction Sheath Combined With Holmium Laser in the Treatment of Parapelvic Cysts
作者:
李强曹贵华刘亮程李伟李铁军
(乐山市人民医院泌尿外科，乐山614000)
Author(s):
Li Qiang;  Cao Guihua;  Liu Liangcheng;  et al.
Department of Urology, People’s Hospital of Leshan, Leshan 614000, China
关键词:
肾盂旁囊肿; 钬激光; 输尿管鞘; 输尿管软镜
Keywords:
Parapelvic cysts; Holmium laser; Ureteral sheath; Flexible ureteroscope
文献标志码:
A
摘要:
目的探讨头端可弯曲负压吸引软镜鞘联合输尿管软镜钬激光内切开引流术治疗肾盂旁囊肿的有效性与安全性。方法回顾性分析我科2020年3月~2024年4月73例手术治疗肾盂旁囊肿的临床资料，其中32例行头端可弯曲负压吸引鞘输尿管软镜钬激光内切开引流术(可弯曲鞘组)，41例行腹腔镜囊肿去顶术(腹腔镜组)，比较2组手术时间、血红蛋白下降值、住院时间、并发症发生率及术后12个月囊肿大小等指标。结果可弯曲鞘组手术时间(49.9±10.5)min，明显短于腹腔镜组(66.5±14.8)min(t=-5.612，P=0.000)；可弯曲鞘组血红蛋白下降值2.5(-1~5) g/dL，明显少于腹腔镜组8.3(2~15) g/L (Z=-6.548，P=0.000)；可弯曲鞘组住院时间(4.1±1.2)d，明显短于腹腔镜组(7.0±1.9)d(t=-7.926，P=0.000)。2组均无ClavienDindo Ⅲ 级以上并发症发生，ClavienDindo Ⅰ~Ⅱ级并发症无显著差异［15.6%(5/32) vs.171%(7/41)， χ2=0.027，P=0.868］。术后12个月2组囊肿大小分别为(2.0±0.7)、(1.6±0.8)cm，差异无显著性(t=1690，P=0.096)。结论头端可弯曲负压吸引软镜鞘联合输尿管软镜钬激光治疗肾盂旁囊肿安全有效，相较于腹腔镜手术，具有手术时间短、出血少、恢复快的优势，且短期疗效相当。
Abstract:
ObjectiveTo evaluate the efficacy and safety of a flexibletip negative pressure suction ureteral access sheath combined with flexible ureteroscopic holmium laser incision and drainage in the treatment of parapelvic cysts.MethodsA retrospective analysis was conducted on 73 patients with parapelvic cysts who underwent surgical treatment between March 2020 and April 2024. Among them, 32 patients underwent flexible ureteroscopy with holmium laser incision and drainage assisted by the flexibletip suction sheath (flexiblesheath group), while 41 patients underwent laparoscopic cyst decortication (laparoscopy group). The operation time, hemoglobin decrease value, hospitalization time, incidence of complications, and changes in cyst size at 12 months postoperatively were compared between the two groups.ResultsThe operative time was （49.9±10.5）min in the flexiblesheath group and （66.5±14.8）min in the laparoscopy group, showing a significant difference (t=-5.612, P=0.000). The decrease in hemoglobin value in the flexible sheath group ［2.5 (-1-5)g/L］ was significantly less than that in the laparoscopic group ［8.3 (2-15)g/L; Z=-6.548, P=0.000］. The hospital stay was (4.1±1.2)d in the flexiblesheath group and (7.0±1.9)d in the laparoscopy group, with a significant difference (t=-7.926, P=0.000). Both groups had no complications of ClavienDindo grade Ⅲ or higher, and there was no significant difference in ClavienDindo grade Ⅰ-Ⅱ complications ［15.6%(5/32) vs. 17.1%(7/41), χ2=0.027, P=0.868］. At 12 months postoperatively, the cyst sizes were (2.0±0.7)cm in the flexiblesheath group and (1.6±08)cm in the laparoscopy group, showing no significant difference (t=1.690, P=0.096).ConclusionsThe flexibletip negative pressure suction sheath combined with flexible ureteroscope holmium laser in the treatment of parapelvic cysts is safe and effective. Compared with laparoscopic surgery, it has the advantages of shorter operation time, less bleeding, and faster recovery, and the shortterm efficacy is comparable.

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备注/Memo

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更新日期/Last Update: 2026-04-24