CAJ | 학술논문

目的探讨成人先天性巨输尿管症的临床治疗方法,评估开放手术与腹腔镜手术的临床治疗效果.方法成人先天性巨输尿管症24例,13例行开放输尿管中下段裁剪输尿管膀胱再植术,11例行腹腔镜输尿管成形术.结果开放手术时间2.0～3.0 h,出血60～120ml.住院时间8～12天.腹腔镜手术时间2.0～4.0 h,出血20～40ml.住院时间5～8天.两组均于术后3个月拔除双J管,无腰痛和发热.随访3个月～5年输尿管均无梗阻.结论腹腔镜输尿管成形术出血少,损伤小,住院时间短,效果好.
목적 탐토성인선천성거수뇨관증적림상치료방법,평고개방수술여복강경수술적림상치료효과.방법 성인선천성거수뇨관증24례,13례행개방수뇨관중하단재전수뇨관방광재식술,11례행복강경수뇨관성형술.결과 개방수술시간2.0～3.0 h,출혈60～120ml.주원시간8～12천.복강경수술시간2.0～4.0 h,출혈20～40ml.주원시간5～8천.량조균우술후3개월발제쌍J관,무요통화발열.수방3개월～5년수뇨관균무경조.결론 복강경수뇨관성형술출혈소,손상소,주원시간단,효과호.
Objectives To discuss the methods of retroperitoneal laparoscopy for ureteroplasty ,uretervesi-cnstomy in treating congenital obstractive megaureter(CM). Methods We performed 24 eases of CM (including 13 cases of open operations and 11 eases of retroperitoneal laparoscopy operations). Results Mean open operation time was 150 minutes (range from 120 to 180). Mean blood loss was 4oral(range from 60 to120) ,and 8-12days in hospital. Mean operation time of the retroperitoneal laparoscopy was 180 minutes (range from 120 to 240). Mean blood loss was 30ml(range from 20 to 40) ,and 5-8 days in hospital. Double J was removed in 3 months after opera-tions without complications. At a mean follow up of 12months(from 3 to 60) ,obstructions were diminished. Con-clusions Retroperitoneal laparoscopy is a feasible method for treatment of CM for its minimum invasion and less blood loss,and shows better outcome than open operatin.