中华小儿外科杂志
中華小兒外科雜誌
중화소인외과잡지
Chinese Journal of Pediatric Surgery
2015年
10期
732-735
,共4页
谢华伟%周辉霞%马立飞%周晓光%陶天%王超%李龙%张旭
謝華偉%週輝霞%馬立飛%週曉光%陶天%王超%李龍%張旭
사화위%주휘하%마립비%주효광%도천%왕초%리룡%장욱
肾积水%腹腔镜检查%肾盂成形术
腎積水%腹腔鏡檢查%腎盂成形術
신적수%복강경검사%신우성형술
Hydronephrosis%Laparoscopy%Pyeloplasty
目的 比较两种经脐入路腹腔镜肾盂成形术治疗儿童肾盂输尿管连接部梗阻所致肾积水的手术效果.方法 收集我院于2011年6月至2013年6月收治的285例肾积水患儿资料,其中经脐单孔腹腔镜手术120例(A组),经脐三通道腹腔镜手术165例(B组),比较两组在手术时间、术中估计出血量、术中并发症、留置引流管、术后恢复饮食时间、术后住院天数、手术成功率等方面的差别.结果 手术均获得成功,无中转开放手术.A组和B组在手术时间(72.04±18.48) min比70.97±14.32)min、术中估计出血量(7.75±3.6)ml比(7.63±4.0)ml、术后住院时间(7.22±1.14)d比(7.06±1.09)d等方面差异均无明显统计学意义,而A组留置引流管时间(3.0±1.3)d比(2.89±1.18)d及术后恢复饮食时间(1.52±0.85)d比(1.33±0.65)d均略长于B组.结论 两种经脐单孔腹腔镜肾盂成形术治疗小儿肾积水均安全可行,但经脐三通道腹腔镜有微创、美容效果更好的优势.
目的 比較兩種經臍入路腹腔鏡腎盂成形術治療兒童腎盂輸尿管連接部梗阻所緻腎積水的手術效果.方法 收集我院于2011年6月至2013年6月收治的285例腎積水患兒資料,其中經臍單孔腹腔鏡手術120例(A組),經臍三通道腹腔鏡手術165例(B組),比較兩組在手術時間、術中估計齣血量、術中併髮癥、留置引流管、術後恢複飲食時間、術後住院天數、手術成功率等方麵的差彆.結果 手術均穫得成功,無中轉開放手術.A組和B組在手術時間(72.04±18.48) min比70.97±14.32)min、術中估計齣血量(7.75±3.6)ml比(7.63±4.0)ml、術後住院時間(7.22±1.14)d比(7.06±1.09)d等方麵差異均無明顯統計學意義,而A組留置引流管時間(3.0±1.3)d比(2.89±1.18)d及術後恢複飲食時間(1.52±0.85)d比(1.33±0.65)d均略長于B組.結論 兩種經臍單孔腹腔鏡腎盂成形術治療小兒腎積水均安全可行,但經臍三通道腹腔鏡有微創、美容效果更好的優勢.
목적 비교량충경제입로복강경신우성형술치료인동신우수뇨관련접부경조소치신적수적수술효과.방법 수집아원우2011년6월지2013년6월수치적285례신적수환인자료,기중경제단공복강경수술120례(A조),경제삼통도복강경수술165례(B조),비교량조재수술시간、술중고계출혈량、술중병발증、류치인류관、술후회복음식시간、술후주원천수、수술성공솔등방면적차별.결과 수술균획득성공,무중전개방수술.A조화B조재수술시간(72.04±18.48) min비70.97±14.32)min、술중고계출혈량(7.75±3.6)ml비(7.63±4.0)ml、술후주원시간(7.22±1.14)d비(7.06±1.09)d등방면차이균무명현통계학의의,이A조류치인류관시간(3.0±1.3)d비(2.89±1.18)d급술후회복음식시간(1.52±0.85)d비(1.33±0.65)d균략장우B조.결론 량충경제단공복강경신우성형술치료소인신적수균안전가행,단경제삼통도복강경유미창、미용효과경호적우세.
Objective To evaluate the effectiveness of two umbilical laparoscopic pyeloplasties in the treatment of pediatric hydronephrosis from ureteropelvic junction obstruction (UPJO).Methods From June 2011 to June 2013,a total of 285 children with hydronephrosis were recruited to undergo either single-port transperitoneal laparoscopic pyeloplasty (group A,n =120) or three-port operations (group B,n =165).The parameters of operative duration,intraoperative blood loss,duration of urethral catheterization time,postoperative hospital stay and inter-group postoperative outcomes were compared.Results All operations were successful without any conversion into open surgery.No significant differences existed in operative duration (72.04 ± 18.48 vs 70.97 ± 14.32 min),intraoperative blood loss volume (7.75 ± 3.6 vs 7.63 ± 4.0 ml),postoperative hospital stay (7.22 ± 1.14 vs 7.06 ± 1.09 days) and inter-group postoperative outcomes (98.7％ vs 98.8％).However,group A had a slightly longer duration of urethral catheterization time (3.0 ± 1.3 vs 2.89 ± 1.18 days) and return to normal diet time (1.52 ± 0.85 vs 1.33 ± 0.65 days).Conclusions Single-port and threeport transperitoneal laparoscopic pyeloplasty are both safe and feasible in the treatment of pediatric hydronephrosis.However,the latter offers greater convenience and better cosmetics.
