SURGICAL-MANAGEMENT OF PAINFUL POLYCYSTIC KIDNEYS

被引：20

作者：

ELZINGA, LW ^{[1
]}

BARRY, JM ^{[1
]}

BENNETT, WM ^{[1
]}

机构：

[1] OREGON HLTH SCI UNIV, DEPT UROL, PORTLAND, OR 97201 USA

来源：

AMERICAN JOURNAL OF KIDNEY DISEASES | 1993年 / 22卷 / 04期

关键词：

AUTOSOMAL DOMINANT POLYCYSTIC KIDNEY DISEASE; CYST MARSUPIALIZATION; ROVSINGS PROCEDURE; CYST PAIN; LAPAROSCOPIC SURGERY; CYST DRAINAGE; CHRONIC PAIN;

D O I：

10.1016/S0272-6386(12)80925-5

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

In patients with symptomatic PKD who have failed medical management, surgical intervention is a reasonable option, providing long-term pain relief in the majority of patients. Individuals for whom this approach is indicated are usually narcotic dependent or disabled by pain. Cyst decompression surgery does not appear to significantly retard or arrest progressive renal insufficiency. On the other hand, widespread fears that cyst decompression might hasten renal failure are clearly unfounded. The application of newer laparoscopic techniques to this problem may allow for a wider range of symptomatic patients to realize the benefits of cyst decompression. © 1993, National Kidney Foundation. All rights reserved. All rights reserved.

引用

页码：532 / 537

页数：6

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