Wang Rongjiang, Wang Ning, Tang Jianer, Chen Yu, Gao Jianguo
Department of Urology, The First Affiliated Hospital of Huzhou Teacher's College, Huzhou, Zhejiang 313000, P.R. China.
Exp Ther Med. 2018 Jan;15(1):283-287. doi: 10.3892/etm.2017.5379. Epub 2017 Oct 27.
The safety and efficacy of multi-planar reconstruction (MPR) image post-processing technique-computed tomography (CT) urography (CTU) combined with precise intraoperative ultrasonography guided flexible ureteroscope in renal cyst incision and drainage in the treatment of cystic diseases of kidney were evaluated. A total of 68 patients were randomly divided into control and observation group (n=34). All the patients were treated with renal cyst incision and drainage under flexible ureteroscope. The control group was under ultrasound guidance. The observation group was combined with MPR-CTU, the safety and efficacy was compared. There was no significant difference between the two groups in the success rate and the time of cyst treatment (P>0.05). The incidence of intraoperative and postoperative complications of the observation group was significantly lower than that of the control group. After 1 month follow-up, the total effective rate of the observation group was significantly higher than that of the control group, the difference was statistically significant (P<0.05). Conclusion MPR-CTU technique combined with intraoperative ultrasonography to guide cyst incision and drainage under flexible ureteroscope for renal cystic disease has a high safety and efficacy, and it is worthy of clinical application.
评估多平面重建（MPR）图像后处理技术——计算机断层扫描（CT）尿路造影（CTU）联合术中精准超声引导下的可弯曲输尿管镜在肾囊肿切开引流治疗肾囊性疾病中的安全性和有效性。将68例患者随机分为对照组和观察组（n = 34）。所有患者均在可弯曲输尿管镜下进行肾囊肿切开引流治疗。对照组采用超声引导，观察组联合MPR-CTU，比较两者的安全性和有效性。两组在囊肿治疗成功率和时间方面差异无统计学意义（P>0.05）。观察组术中及术后并发症发生率明显低于对照组。随访1个月后观察组总有效率明显高于对照组，差异具有统计学意义（P<0.05）。结论MPR-CTU技术联合术中超声引导可弯曲输尿管镜下囊肿切开引流治疗肾囊性疾病具有较高的安全性和有效性，值得临床应用。
