Department of Urology in Zabrze, Medical University of Silesia in Katowice, Katowice, Poland.
Med Sci Monit. 2013 Jul 1;19:518-23. doi: 10.12659/MSM.889337.
The simple renal cyst is the most common benign kidney disease. It may cause pain and hypertension, especially if significantly enlarged. As in polycystic kidney disease, blood cell count disturbances are frequently observed in simple renal cysts. The aim of our study was to assess such disturbances, changes in blood pressure, and complication rate in our patients undergoing surgery due to simple renal cyst in the last 10 years.
210 patients with simple renal cysts were underwent surgery between 2002 and 2012. Two different kinds of operation were conducted: aspiration of cyst fluid with injection of sclerosing agent, and laparoscopic/retroperitoneoscopic decortications of the cyst wall. A control group comprised 134 patients with benign prostate hyperplasia. The following data were obtained: cyst burden, hematocrit, hemoglobin, red blood cells, thrombocytes, occurrence of pain, and blood pressure before and after the operation. Complications were collected and presented in Clavien score.
Hematocrit, hemoglobin, and red blood cells were significantly increased in the experimental group. A positive correlation was observed between cyst burden and the parameters mentioned above. Of 91 patients with hypertension, 56 (61.7%) had blood pressure reduction after the operation. Treatment relieved the loin pain in 132 (88%) patients. Complications occurred in 15 (7.4%) patients.
Patients with simple renal cysts have high values of red blood cells, hematocrit, and hemoglobin. Treatment decreases blood pressure in patients with hypertension. Complications after treatment are rare and mild.
单纯性肾囊肿是最常见的良性肾脏疾病。它可能会引起疼痛和高血压，尤其是当囊肿显著增大时。与多囊肾病一样，单纯性肾囊肿常伴有血细胞计数紊乱。我们的研究旨在评估过去 10 年来因单纯性肾囊肿接受手术的患者的这些紊乱、血压变化和并发症发生率。
2002 年至 2012 年间，210 例单纯性肾囊肿患者接受了手术。采用了两种不同的手术方式：囊肿液抽吸并注射硬化剂，以及腹腔镜/后腹腔镜囊肿壁剥除术。对照组由 134 例良性前列腺增生患者组成。获得的数据包括囊肿负担、血细胞比容、血红蛋白、红细胞、血小板、手术前后疼痛的发生和血压。并发症按 Clavien 评分收集和呈现。
实验组的血细胞比容、血红蛋白和红细胞显著增加。囊肿负担与上述参数之间存在正相关关系。91 例高血压患者中，56 例（61.7%）术后血压下降。治疗缓解了 132 例（88%）患者的腰痛。15 例（7.4%）患者出现并发症。
单纯性肾囊肿患者的红细胞、血细胞比容和血红蛋白值较高。治疗可降低高血压患者的血压。治疗后的并发症罕见且轻微。
