摘要
目的探讨腹腔镜辅助体外肾盂成形术与小切口肾盂成形术治疗婴儿期先天性肾积水的临床疗效。方法回顾性分析67例婴儿期先天性肾积水手术治疗患儿的临床资料,其中腹腔镜辅助体外肾盂成形手术31例为腹腔镜辅助组,小切口肾盂成形术36例为小切口手术组。比较2组手术时间、术中出血量、术后肠道恢复时间、术后住院时间、术后并发症发生率、肾盂分离减少值和肾小球滤过率增加值。结果腹腔镜辅助组手术时间[(78±12)min]较小切口手术组[(70±10)min]长(P<0.05),术后住院时间[(7.5±1.2)d]、术后肠道恢复时间[(1.2±0.2)d]均短于小切口手术组[(8.5±1.3)d、(1.5±0.5)d](P<0.05),术中出血量[(10.1±2.2)mL]少于小切口手术组[(12.6±3.2)mL](P<0.05);腹腔镜辅助组术后并发症发生率(9.6%)、肾盂分离减少值[(16.4±9.6)mm]、肾小球滤过率增加值[(10.3±2.7)mL/min]与小切口手术组[8.3%、(17.3±8.2)mm、(9.6±3.6)mL/min]比较差异无统计学意义(P>0.05)。结论腹腔镜辅助体外肾盂成形术治疗婴儿期先天性肾积水可达到与小切口肾盂成形术相同效果,患儿术后恢复快、住院时间短。
Objective To compare the clinical effect of laparoscopic assisted versus small incision pyeloplasty on congenital hydrocephalus in infants. Methods The clinical data of 67 infants with congenital hydronephrosis were retrospectively analyzed and divided into laparoscopic assisted group （n=31） receiving laparoscopic assisted pyeloplasty and small incision pyeloplasty group （n = 36） receiving small incision pyeloplasty. The differences in operation lasting time, intraoperative blood loss, postoperative intestinal recovery time, postoperative hospitalization stay, incidence of postoperative complications and glomerular filtration rate were compared between two groups. Results The operation lasting time was significantly longer （（78 ± 12） rain vs （70±10） min）, the postoperative hospitalization stay was significantly shorter （（7.5±1.2） d vs （8.5±1.3） d）, intraoperative blood loss was less （（10.1±2.2） mL vs （12.6± 3.2） mL）, and postoperative intestinal recovery time was shorter （（1. 2± 0. 2） d vs （1. 5 ± 0. 5） d） in laparoscopic assisted group than those in small incision pyeloplasty group （P〈0.05）. There were no significant differences in the incidence of postoperative complication （9.6% vs 8.3%）, postoperative pyelic separation values （16.4±9.6 vs 17.3±8.2） and increased glomerular filtration rate （10.3 ±2.7 vs 9.6±3.6） between laparoscopic assisted group and small incision group （P〈0.05）. Conclusion Laparoscopic assisted pyeloplasty can achieve the same result as small incision pyeloplasty, with rapid postoperative recovery and short hospitalization stay.
出处
《中华实用诊断与治疗杂志》
2016年第10期984-986,共3页
Journal of Chinese Practical Diagnosis and Therapy
基金
河南省高等学校重点科研项目计划基金(15A320072)
关键词
肾积水
先天性
腹腔镜
肾盂成形术
Hydronephrosis
congenital
laparoscopy
pyeloplasty
