CAJ | 학술논문

目的：探讨Quill线（双向倒刺可吸收线）在腹腔镜肾盂输尿管成形术的可行性。方法2011年3月至2013年9月，本院共实施39例腹腔镜肾盂输尿管成形术，其中采用普通5-0可吸收线行成形缝合术21例（ A组），18例采用Quill线缝合（ B组）。 A组男12例，女9例，年龄6～18岁，平均年龄14．6岁；B组男11例，女7例。年龄7～33岁，平均16．6岁。所有患者均经B超、CTU或磁共振成像检查确诊为肾盂输尿管交界处狭窄。结果39例腹腔镜肾盂输尿管成形手术全部顺利完成。 A组手术时间（79．5±21．4）分钟。术中出血量（18．5±21．2）ml；B 组手术时间（60．8±13．3）分钟。术中出血量（20．3±22．4） ml；术中均未输血。 A组肾盂成形缝合时间（22．4±3．2）分钟；B 组肾盂成形缝合时间（10．4±2．6）分钟。术后住院两组均在5～7天，平均6天。随访时间1～31个月，两组病人随访B超复查均无再发狭窄病例，无缝线结石生成病例。结论 Quill线在腹腔镜肾盂输尿管成形术中应用能够明显缩短缝合时间，具有很好的安全性和可行性。
목적：탐토Quill선（쌍향도자가흡수선）재복강경신우수뇨관성형술적가행성。방법2011년3월지2013년9월，본원공실시39례복강경신우수뇨관성형술，기중채용보통5-0가흡수선행성형봉합술21례（ A조），18례채용Quill선봉합（ B조）。 A조남12례，녀9례，년령6～18세，평균년령14．6세；B조남11례，녀7례。년령7～33세，평균16．6세。소유환자균경B초、CTU혹자공진성상검사학진위신우수뇨관교계처협착。결과39례복강경신우수뇨관성형수술전부순리완성。 A조수술시간（79．5±21．4）분종。술중출혈량（18．5±21．2）ml；B 조수술시간（60．8±13．3）분종。술중출혈량（20．3±22．4） ml；술중균미수혈。 A조신우성형봉합시간（22．4±3．2）분종；B 조신우성형봉합시간（10．4±2．6）분종。술후주원량조균재5～7천，평균6천。수방시간1～31개월，량조병인수방B초복사균무재발협착병례，무봉선결석생성병례。결론 Quill선재복강경신우수뇨관성형술중응용능구명현축단봉합시간，구유흔호적안전성화가행성。
Objective To investigate the feasibility of Quill suture line application in retroperitoneoscopic py-eloureteroplasty.Methods Between Mar 2011 and Sep 2013, 39 cases of retroperitoneoscopic pyeloureteroplasty was performed in our hospital , 5-0 adsorbable line was used in 21 cases ( A group ) , bidirectional barbed ab-sorbable suture line was used in 18 cases(B group), With 12 males and 9 females in group A, age 6~18years;mean 14.6 years.In group B, with 11 males and 7 females, age 7~33years;mean 16.6 years.All cases were diagnosed for ureteropelvic junction stricture by B -ultrasonic, CTU or MRU.Results All 39 cases of retroper-itoneoscopic pyeloureteroplasty were successfully performed , without conversion to open surgery and important in-traoperative complications .In group A, the operative time was ( 79.5 ±21.4 ) min, the blood loss was 18.5 ±21.2ml, suture time was 22.4 ±3.2min, In group B,the operative time was 60.8 ±13.3min, the blood loss was 20.3 ±22.4ml, suture time was 10.4 ±2.6min, without operative blood transfusion , In two groups , hospital stay was 5~7 d, mean 6 d.The follow up time was 1~31 months, the case with stenosis of ureter was not found any more , and the Sutures Calculi was not appeared also .Conclusions The application of Quill suture line in retroperitoneoscopic pyeloureteroplasty could shorten suture time , with good safety and feasibility , worthy of being applicated generally in clinic .