CAJ | 학술논문

目的：通过与开放Anderson-Hyness成形术的效果比较，评价后腹腔镜Anderson-Hyness成形术的临床价值。方法回顾性分析后腹腔镜Anderson-Hyness成形术9例( A组)及开放Anderson-Hyness成形术13例( B组)的临床资料，就两组手术时间、术中出血、术后肠道功能恢复时间、术后止痛药用量、术后住院天数、并发症、瘢痕满意度和成功率等指标进行比较。根据数据类型选用检验、成组t检验或Mann-WhiteyU检验。结果 A组在出血量、术后肠道功能恢复时间、术后止痛药用量、术后住院天数、并发症，瘢痕满意度等方面优于B组，差异有统计学意义( P<0．01﹚；成功率与B组差异无统计学意义( P>0．05﹚。结论后腹腔镜Anderson-Hyness成形术是一种治疗肾盂-输尿管连接部梗阻( UP-JO)的微创、安全、有效的方法，可以替代传统开放手术，成为首选术式。
목적：통과여개방Anderson-Hyness성형술적효과비교，평개후복강경Anderson-Hyness성형술적림상개치。방법회고성분석후복강경Anderson-Hyness성형술9례( A조)급개방Anderson-Hyness성형술13례( B조)적림상자료，취량조수술시간、술중출혈、술후장도공능회복시간、술후지통약용량、술후주원천수、병발증、반흔만의도화성공솔등지표진행비교。근거수거류형선용검험、성조t검험혹Mann-WhiteyU검험。결과 A조재출혈량、술후장도공능회복시간、술후지통약용량、술후주원천수、병발증，반흔만의도등방면우우B조，차이유통계학의의( P<0．01﹚；성공솔여B조차이무통계학의의( P>0．05﹚。결론후복강경Anderson-Hyness성형술시일충치료신우-수뇨관련접부경조( UP-JO)적미창、안전、유효적방법，가이체대전통개방수술，성위수선술식。
Objective With the comparison of the effect of open Anderson-Hyness plasty,to evaluate the clinical value of retroperitoneal laparoscopic Anderson-Hyness plasty. Methods Regression analysis after laparoscopic Anderson-Hyness plasty in 9cases (group A) and open Anderson-Hyness plasty in 13 cases (group B) clinical data, on the operation time, bleeding in the two group, postoperative intestinal function recovery time, postoperative analgesic consumption, postoperative hospital stay, com-plications , scar satisfaction and success rate were compared between the. According to the type of the data using test, t test or Mann-WhiteyU test group. Result In group A, the amount of bleeding, postoperative intestinal function recovery time, postoper-ative analgesic consumption, postoperative hospital stay, complications, scar satisfaction is better than that of B group, the differ-ence was statistically significant (P<0. 01);success rate with B group, no significant difference (P>0. 05). Conclusion ret-roperitoneal laparoscopic Anderson-Hyness angioplasty is a treatment of ureteropelvic junction obstruction ( UPJO) and minimally invasive, safe, effective method, can replace the traditional open operation, become the preferred type of operation.