中国医学装备2016，Vol.13Issue(8)：66-68,69,4.DOI:10.3969/J.ISSN.1672-8270.2016.08.020
后腹腔镜手术与开放手术治疗小儿先天性重度肾积水的临床疗效对比
The comparison between retroperitoneoscopic and open dismembered pyeloplasty for ureteropelvic junction obstruction in children with congenital serious hydronephrosis in clinical effets
花晨朝 1蔡忠林 2陶瑞雨 3周逢海 3李海元1
作者信息
- 1. 兰州军区兰州总医院全军泌尿外科中心 甘肃 兰州 730050
- 2. 兰州大学第二临床医学院 甘肃 兰州 730000
- 3. 兰州大学第二临床医学院 甘肃 兰州 730000
- 折叠
摘要
Abstract
Objective:To compare the effectiveness and potential advantages and complications between retroperitoneoscopic pyeloplasty and classical open pyeloplasty in children with congenital serious hydronephrosis.Methods:47 cases who were confirmed ureteropelvic junction obstruction (UPJO) in children with congenital serious hydronephrosis were selected and divided into the observation group with 21 cases and the control group with 26 cases. Two patient cohorts with undergoing open or retroperitoneoscopic pyeloplasty were analysed comparatively.Results: The patients in two groups completed Anderson-Hynes operation successfully without serious complications. When the therapeutic outcomes of the two groups were compared, the average blood loss, mean hospital stay, analogue scale of pain and the infection rate in the observation group were better than that in the control group (t=5.518,t=18.296,t=11.666;P<0.05). But the average operation time in the observation group was longer than the control group (t=10.855,P<0.05). No recurrence was found in these two groups following-up 6 months.Conclusion: Retroperitoneoscopic pyeloplasty is a safe and effective procedure for the treatment of UPJO in the children with congenital serious hydronephrosis. It has some advantages of less trauma, improved cosmetic effect and postoperative quicker recovery, which can replace classical open pyeloplasty.关键词
小儿先天性重度积水/后腹腔肾盂成形术/开放手术/肾盂输尿管连接处梗阻/安全有效性评价Key words
Congenital serious hydronephrosis/Retroperitoneoscopic pyeloplasty/Open pyeloplasty/Ureteropelvic junction obstruction/Assessment of effectiveness and safety分类
医药卫生引用本文复制引用
花晨朝,蔡忠林,陶瑞雨,周逢海,李海元..后腹腔镜手术与开放手术治疗小儿先天性重度肾积水的临床疗效对比[J].中国医学装备,2016,13(8):66-68,69,4.
