离断性肾盂成形术在小儿肾积水治疗中的应用效果分析  

Observation on the Effect of Dismembered Pyeloplasty in the Treatment of Hydronephrosis in Children

作　　者：余晓霞 YU Xiao-xia(Department of Pediatric Surgery,Qujing Maternal and Child Health Hospital,Qujing,Yunnan Province,655000 China)

机构地区：[1]云南省曲靖市妇幼保健院小儿外科

出　　处：《世界复合医学》2019年第11期59-61,共3页World Journal of Complex Medicine

摘　　要：目的观察研究离断性肾盂成形术在小儿肾积水治疗中的应用效果。方法选择近两年该院收治的小儿肾积水患儿40例,具体的选择时间为2017年1月-2019年1月,随机将患儿分为普通组和研究组,各20例患儿,对普通组的患儿进行非离断性肾盂成形术的治疗,对研究组的患儿进行离断性肾盂成形术的治疗,在治疗过后,对两组患儿手术中额相关指标以及血清相关指标进行对比分析。结果普通组患儿的手术时间为(121.3±12.4)min,手术出血量为(34.8±2.8)mL;研究组患儿的手术时间为(97.5±11.8)min,手术出血量为(20.5±3.2)mL,普通组患儿的手术时间和手术出血量均大于研究组,差异有统计学意义(P<0.05)。在治疗前,普通组的Cr水平为(228.3±10.7)μmol/L;研究组的Cr水平为(229.4±11.5)μmol/L,数据对比差异无统计学意义(t=0.284, P>0.05)。在治疗后,普通组的Cr水平为(133.8±11.9)μmol/L;研究组的Cr水平为(168.3±12.7)μmol/L,普通组Cr水平明显低于研究组,差异有统计学意义(P<0.05)。在治疗前,普通组的BUN水平为(41.2±4.8)mmol/L;研究组的BUN水平为(41.3±4.9)mmol/L,数据对比差异无统计学意义(P>0.05)。在治疗后,普通组的BUN水平为(10.3±5.1)mmol/L;研究组的BUN水平为(15.8±5.2)mmol/L,普通组BUN水平明显低于研究组,差异有统计学意义(3.377,P<0.05)。结论相比较其他的治疗方式,离断性肾盂成形术对小儿肾积水的治疗效果更加明显,对患儿的肾脏功能具有显著的改善作用,不仅缩短了手术的时间,还减少了手术中的出血量,Cr水平及BUN水平也得到了明显的提升,对患儿的恢复产生一定的积极影响,提高患儿生活质量,值得临床推广使用。Objective Analysis of application effect of intermittent pyeloplasty in the treatment of hydronephrosis in children. Methods 40 children with hydronephrosis admitted to the hospital in recent two years were selected. The specific selection time was January2017-January 2019. The children were randomLy divided into two groups: the normal group and the research group. 20 children in each group were treated with non-disruptive pyeloplasty. The children in the study group were treated with disruptive pyeloplasty. Af-ter the treatment, the children in the two groups were treated with disruptive pyeloplasty. The frontal and serum indexes were com-pared and analyzed. Results The operation time of the children in the general group was(121.3±12.4) min, and the amount of surgical bleeding was(34.8±2.8) mL. The operation time of the study group was(97.5±11.8) min, and the amount of surgical bleeding was(20.5±3.2)mL. The operation time and surgical bleeding of the children in the general group were larger than those in the study group,and the difference was statistically significant(P<0.05). Before treatment, the Cr level in the normal group was(228.3±10.7)μmol/L;the Cr level in the study group was(229.4±11.5)μmol/L, and the data were not statistically significant(t=0.284, P>0.05). After treatment, the Cr level in the general group was(133.8±11.9)μmol/L;the Cr level in the study group was(168.3±12.7)μmol/L, and the Cr level in the normal group was significantly lower than that in the study group, the difference was statistically significant( P<0.05). Before treatment, the BUN level of the general group was(41.2±4.8)mmol/L;the BUN level of the study group was(41.3±4.9)mmol/L,and the data were not statistically significant(P>0.05). After treatment, the BUN level in the general group was(10.3±5.1)mmol/L;the BUN level in the study group was(15.8±5.2)mmol/L, and the BUN level in the general group was significantly lower than that in the study group,the difference was statistically significant(t=3.377, P<0.05). Conc

关 键 词：小儿肾积水 离断性肾盂成形术 效果观察 

分 类 号：R246.4[医药卫生—针灸推拿学]