摘要
【目的】对腹腔镜肾盂成形术和开放手术在治疗肾盂输尿管连接部狭窄（UPJO）的疗效进行比较，并总结和探讨腹腔镜肾孟成形术在UPJO治疗中的临床应用价值。【方法】回顾性分析2009年4月到2012年8月在本院行手术治疗的UP-10患者86例。其中进行腹腔镜下离断式肾盂成形术40例，开放式手术46例。比较两种方法的手术时间、术中出血量、术后胃肠道恢复时间、住院时间、术后并发症和术后伤口疼痛等情况。【结果】所有86例腹腔镜手术与开放式手术组手术均获得成功。腹腔镜手术组未出现中转开放手术的情况，腹腔镜手术组术中出血量少于、术后胃肠功能恢复时间、术后住院天数均低于开放手术组（P〈0．01），而手术时间则明显高于开放手术组（P〈O．01），两组的手术成功率无明显差别（P〉O．05）。【结论】腹腔镜离断式肾盂成形术治疗UPJO是一种微创、安全的术式，可考虑将其作为uPJo手术治疗的首选术式用来代替开放手术．
[Objective]To compare the efficacy of laparoscopic pyeloplasty vs open surgery for the treat- ment of ureteropelvic junction obstruction（UPJO）, and summarize and explore the clinical application value o~ laparoscopic pyeloplasty in the treatment of UPJO. [Methods] A total of 86 UPJO patients undergoing the surgery in our hospital from April 2009 to Aug. 2012 were analyzed retrospectively. Of the 86 patients, 40 pa- tients underwent laparoscopic dismembered pyeloplasty and 46 patients underwent open operation. The opera- tive time, intraoperative blood loss, postoperative recovery time of intestinal function, hospital stay, postoper- ative complications and postoperative wound pain were compared. [Results]All of 86 patients underwent lapa- roscopic operation successfully. No case in laparoseopy group conversed to open surgery during the operation. Intraoperative blood loss, postoperative recovery time of gastrointestinal function and postoperative hospital stay in laparoscopy group were lower than those in open operation group（ P 〈0.01）, while the operation time in laparoscopy group was obviously higher than that in open operation group（ P 〈0.01）. There was no signif- icant difference in operation success rate between two groups（ P 〉0.05）. [Conclusion]Laparoscopic dismem- bered pyeloplasty for the treatment of UPJO is a minimally invasive and safe operation, and can be considered as the first choice of the treatment of UPJO to replace the open operation.
出处
《医学临床研究》
CAS
2013年第3期525-527,共3页
Journal of Clinical Research
