检验医学与临床Issue(13)：1840-1841,1844,3.DOI:10.3969/j.issn.1672-9455.2015.13.009
后腹腔镜术治疗成人肾盂输尿管交界处梗阻性病变的临床研究
Clinical research on retroperitoneal laparoscopic surgery for treating adult ureteropelvic junction obstruction lesion
摘要
Abstract
Objective To investigate the clinical diagnosis and treatment of adult ureteropelvic junction ob‐struction lesions .Methods 140 cases of adult ureteropelvic junction obstruction lesions were selected and randomly divided into two groups .67 cases in the control group and 73 cases in the observation group had the comparability .All patients underwent intravenous urography (IVU ) ,among them 93 cases were simultaneously performed the retro‐grade urography (RGU ) and 28 cases were conducted the percutaneous nephrolithotomy urography .The control group adopted the conventional open surgery ,while the observation group was implemented the retroperitoneal lapa‐roscopic surgery .The situation of treatment and recovery in the two groups was performed the statistics and compari‐sons .Results All patients were diagnosed during surgery .The diagnostic accuracy by the above mentioned imaging reached up to 100% .The intraoperative blood loss volume and operative time in the observation grroup were signifi‐cantly less than those in the control group ,the analgesic drugs amounts were significantly less than those in the con‐trol group ,the fasting time was significantly shorter than that in the control group ,the ambulation time ,postoperative bowel recovery time and postoperative hospital stay were significantly shorter than those in the control group ,and the incidence rate of postoperative complications was significantly lower than that in the control group ,the differences were statistically significant (P< 0 .05) .The recurrence rate of postoperative hydrocephalus had no statistical differ ‐ence between the two groups (P> 0 .05) .Conclusion Adult ureteropelvic junction obstruction lesions can be diag‐nosed by pyelography ,retrograde urography and percutaneous pyeloureterography ,in the aspect of treatment ,retro‐peritoneal laparoscopic surgery after mastering its chracteristics has the obvious superiority due to the characteristics of small injury and rapid recovery .关键词
肾盂/输尿管/梗阻/诊断/治疗Key words
pelvis/ureter/obstruction/diagnosis/treatment引用本文复制引用
徐伟,刘成倍..后腹腔镜术治疗成人肾盂输尿管交界处梗阻性病变的临床研究[J].检验医学与临床,2015,(13):1840-1841,1844,3.基金项目
广西玉林市卫计委医药卫生自筹经费计划课题（Z2012736）。 （）
