目的 探讨特发性肾包膜下积液患者行后腹腔镜下肾包膜切除术的疗效.方法回顾性分析10例特发性肾包膜下积液患者的诊断及治疗经过.所有患者均为女性,均无明显诱因出现患侧腰部胀痛不适,无外伤或医源性损伤病史.经B超及增强CT显像检查明确诊断为肾包膜下积液.所有患者均行后腹腔镜下肾包膜切除术.结果所有患者手术均顺利完成,无并发症出现,平均随访12月(6~18月),无1例肾包膜下积液复发.结论 特发性肾包膜下积液的病因和病理机制尚不明确,治疗上主要以对症处理为主,后腹腔镜下肾包膜切除术疗效确切,长期随访未见复发.%Objective To evaluate the efficacy of retroperitoneal laparoscopic renal capsulectomy for patients with idio -pathic renal subcapsular fluid collection . Methods The diagnosis and treatment of 10 patients with idiopathic renal subcapsu-lar fluid collection were retrospectively analyzed . All patients were female with flank pain for unknown reasons , and were diagnosed as renal subcapsular fluid collection with B ultrasound and enhanced CT scan . All patients underwent retroperitoneal laparoscopic renal capsulectomy . Results The operations were successfully performed in all patients , and no major complications or recurrence were observed during the mean follow-up of 12 months. Conclusion The reason for idiopathic renal subcapsular fluid collection is unknown , and the aim of treatment is mainly to alleviate the symptoms . Based on our experience , we believe that retroperitoneal laparoscopic renal capsulectomy is an effective surgical treatment with no observed recurrence .
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