小儿离断式肾盂成形术中对扩张肾盂不同处理方式的对比研究  

Children from Pyeloplasty Comparative Study of Different Treatment Methods on the Expansion of the Renal Pelvis in Operation

作　　者：许辉煌[1,2] 

机构地区：[1]福建省立医院儿外科,福建福州350001 [2]福建医科大学省立临床学院,福建福州350001

出　　处：《中外医疗》2016年第21期101-102,105,共3页China & Foreign Medical Treatment

基　　金：2013年福建省卫生计生委青年课题资助(2013-2-4)

摘　　要：目的探讨小切口离断式肾盂成形术来扩张肾盂的疗效。方法该研究方便收集2014年5月—2016年1月行肾盂成形术的患儿50例,采用随机数字表法随机分为观察组和对照组,两组各25例。观察组行小切口离断式肾盂成形术,对照组行传统离断式肾盂成形术,观察手术相关指标,同时在术后1个月进行随访观察患者的恢复状况。结果观察组患儿的手术时间(96.51±22.15)min显著短于对照组(115.16±27.32)min,且出血量(66.77±25.18)min也显著少于对照组(143.62±30.19)m L,差异均有统计学意义(P<0.05)。观察组患儿的胃肠功能恢复时间(2.17±0.22)d和住院时间(7.16±1.30)d显著短于对照组(3.77±0.91)d、(9.53±2.63)d,差异均有统计学意义(P<0.05)。结论小切口离断式肾盂成形术具有出血少、创伤小、痛苦少、术后恢复快等优点,是一种较为理想的微创性肾盂成形术,值得临床推广应用。Objective To evaluate the clinical efficacy of small incision dilated renal pelvis pyeloplasty to. Methods Convenient selection 50 cases of this study we collected from May 2014 to January 2016 pyeloplasty in children, were randomly divided into observation group and control group, two groups of 25 cases. The observation group underwent small incision pyeloplasty; the control group, the pyeloplasty, operation time, two groups were observed and compared the operation time bleeding volume and postoperative recovery of gastrointestinal function and postoperative hospitalization time, at the same time in 1 months after operation the recovery of follow-up of patients the. Results The operation time in the observation group（96.51 ± 22.15） min was significantly shorter than the control group（115.16 ± 27.32）min, and the amount of bleeding（66.77 ± 25.18）mL was significantly less than the control group（143.62 ± 30.19）mL, the differences were statistically significant（P〈0.05）. The observation group with the gastrointestinal function recovery time（2.17 ± 0.22）d and hospitalization time（7.16 ± 1.30）d was significantly shorter than the control group（3.77 ± 0.91）d,（9.53 ± 2.63）d, the differences were statistically significant（P〈0.05）. Conclusion Small incision pyeloplasty with less bleeding, less trauma, less pain, faster postoperative recovery and other advantages, is an ideal minimally invasive pyeloplasty, worthy of clinical application.

关 键 词：扩张肾盂 离断式肾盂成形术 处理方式 

分 类 号：R726[医药卫生—儿科]