腹腔镜肾去神经术和肾固定术治疗青少年常染色体显性多囊肾病相关疼痛
Laparoscopic renal denervation and nephropexy for autosomal dominant polycystic kidney disease related pain in adolescents.
作者信息
Resnick Matthew, Chang Andy Y, Casale Pasquale
机构信息
Children's Hospital of Philadelphia, University of Pennsylvania, Philadelphia, Pennsylvania 19107, USA.
出版信息
J Urol. 2006 Jun;175(6):2274-6; discussion 2276. doi: 10.1016/S0022-5347(06)00336-3.
PURPOSE
We present our initial experience with laparoscopic renal denervation and nephropexy for ADPKD related pain in the adolescent population.
MATERIALS AND METHODS
Four patients 15 to 19 years old previously diagnosed with ADPKD presented with chronic pain refractory to narcotic analgesics. These 4 patients underwent laparoscopic renal denervation of 5 kidneys.
RESULTS
Mean operative time was 136 minutes and mean hospital stay was 2.75 days. All patients were pain-free at discharge home and remained pain-free at a mean followup of 11.5 months.
CONCLUSIONS
We believe that laparoscopic renal denervation plus nephropexy is a promising option for uncontrolled ADPKD related pain in the adolescent population.
目的
我们介绍了在青少年人群中，针对常染色体显性多囊肾病（ADPKD）相关疼痛进行腹腔镜肾去神经术和肾固定术的初步经验。
材料与方法
4例年龄在15至19岁之间、先前已诊断为ADPKD的患者，出现了对麻醉性镇痛药无效的慢性疼痛。这4例患者接受了5侧肾脏的腹腔镜肾去神经术。
结果
平均手术时间为136分钟，平均住院时间为2.75天。所有患者出院时均无疼痛，在平均11.5个月的随访中仍无疼痛。
结论
我们认为，腹腔镜肾去神经术加肾固定术对于青少年人群中无法控制的ADPKD相关疼痛是一种有前景的选择。
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