摘要
目的比较腹膜后纤维化患者行腹腔镜与开放输尿管松解术的临床效果。方法回顾性分析腹腔镜下输尿管松解术(LS组)10例及开放输尿管松解术(OS组)13例患者的临床资料,对两组手术准备时间、手术时间、术中出血量、肠功能恢复时间、下地活动时间、术后住院天数、住院总天数及并发症等进行比较。结果 LS组的术中出血量、肠功能恢复时间、术后住院天数、住院总天数(分别为59.50ml、2.70±0.82d8、.70±1.42d、17.40±5.64d)均少于OS组(分别为100.00ml、3.85±1.07d、11.62±3.18d2、3.38±5.45d,P<0.05);LS组手术准备时间(29.25±11.43min)长于OS组(19.85±7.36min,P<0.05);两组的手术时间和下地活动时间差异无统计学意义(P>0.05)。两组均无输血病例,无严重并发症发生,随访18个月,无原位复发及再次梗阻出现。结论与开放手术相比,腹腔镜输尿管松解术具有术中出血量少、术后肠功能恢复快、住院时间短等优点,是治疗腹膜后纤维化安全、有效的手术方式。
Objective To evaluate the clinical effect of laparoscopic ureterolysis in the treatment of retroperitoneal fibrosis,and compare the effectiveness with the therapy of open ureterolysis.Methods The clinical data of 10 patients undergone laparoscopic ureterolysis（LS group） and 13 patients undergone open ureterolysis（OS group） were retrospectively reviewed.A comparison was performed between the two groups in terms of operative preparing time,operating time,estimated blood loss,recovery of intestinal function,ambulation activities after operation,postoperative length of hospital stay,total length of hospital stay and complication.Results The estimated blood loss,recovery of intestinal function,postoperative length of hospital stay,total length of hospital stay in LS group（59.50ml,2.70±0.82d,8.70±1.42d,17.40±5.64d） were all better than those in OS group（100.00ml,3.85±1.07d,11.62±3.18d,23.38±5.45d,P〈0.05）.The operative preparing time in LS group was longer than that in OS group（29.25±11.43min vs 19.85±7.36min,P〈0.05）.No difference existed between the two groups in the operating time and ambulation activities after operation（P〉0.05）.No transfusion was required and no complication occurred in the both groups.With a follow-up of 18 months,no recurrence in situ and no obstruction were observed in the both groups.Conclusions Laparoscopic ureterolysis has the advantages of less blood loss,rapid recovery of intestinal function,shorter hospital stay as compared to that of open ureterolysis.It is therefore a safe and effective surgical procedure in treatment of retroperitoneal fibrosis.
出处
《解放军医学杂志》
CAS
CSCD
北大核心
2011年第3期215-217,224,共4页
Medical Journal of Chinese People's Liberation Army
