摘要
目的:通过与开放性肾盂成形术的临床效果比较,评价后腹腔镜离断式肾盂成形术的临床价值。方法:回顾性分析后腹腔镜离断式肾盂成形术64例(A组)及开放性肾盂成形术48例(B组)的临床资料,就两组患者一般资料、手术时间、术中出血量、术后肠道功能恢复时间、术后止痛药用量、术后住院天数、术后并发症及术后肾积水复发率等指标进行比较。根据数据类型选用x^2检验、两样本t检验或Wilcoxon秩和检验,P<0.05差异有统计学意义。结果:两组患者的一般资料相似,差异无统计学意义(P>0.05),具有可比性。后腹腔镜离断式肾盂成形术在手术时间、术中出血量、术后肠道功能恢复时间、术后止痛药用量、术后住院天数、术后并发症等方面优于开放性肾盂成形术,差异有统计学意义(P<0.05),而术后肾积水复发率方面差异无统计学意义(P>0.05)。结论:后腹腔镜离断式肾盂成形术治疗肾盂输尿管连接部梗阻疗效肯定,与传统的开放性手术相比,创伤小、恢复快、术后近期疗效相当,是目前治疗肾盂输尿管连接部梗阻较理想的手术方法,值得进一步推广。
Objective： To assess the clinical value of dismembered retroperitoneal laparoscopic pyeloplasty by comparing its clinical effects with those of open surgery. Methods： Clinical data about 64 cases （A group） and 48 cases （B group） with UPJO respectively treated by dismembered retroperitoneal laparoscopic and open surgical pyeloplasty were analyzed retrospectively. The demographics of patients, operation time, intraoperative blood loss , time of intestinal function postoperative recovery, analgesic dosage, post-operative hospital stay, incidence of postoperative complications and recurrence rate of hydronephrosis in two groups were compared. According to the data types used ？（ 2 test, two-sample Wilcoxon t test and rank sum test,statistical significance was defined as P〈0.05. Results：There are no significant differences in the demographics of patients between two groups, so they are comparable. In group A, operation time, intraoperative blood loss , time of intestinal function postoperative recovery, analgesic dosage, postoperative hospital stay, incidence of postoperative complications are superior to those in group B, statistical differences are significant （P〈0.05）, but there are no significant differences in the recurrence rate of hydronephrosis between two groups（P〉0.05）. Conclusions：There is a definite therapeutic effect in the dismembered retroperitoneal laparoscopic pyeloplasty for treatment of UPJO, equivalent to open surgical py eloplasty, and this procedure is less injury, more rapid postoperative recovery than open surgical pyeloplasty. Therefore, the dismembered retroperitoneal laparoscopic pyeloplasty will be a better alternative surgical method desirable to be further popularized for treatment of UPJO.
出处
《临床泌尿外科杂志》
北大核心
2010年第7期503-506,共4页
Journal of Clinical Urology
关键词
肾盂输尿管连接部梗阻
离断式肾盂成形术
后腹腔镜
UPJO
dismembered retroperitoneal laparoscopic pyeloplasty
retroperitoneal laparoscope
