腹腔镜肾盂成形术治疗小儿肾盂输尿管连接处梗阻的效果分析  

Application of laparoscopy pyeloplasty in the treatment of ureteropelvic junction obstruction in children

作　　者：吕东[1] 向颖[1] 宋涛 曹晨曦[1] 黄翔[1] LV Dong;XIANG Ying;SONG Tao;CAO Chenxi;HUANG Xiang(Department of Urology,Sichuan Provincial People’s Hospital,Chengdu,Sichuan 610072,China)

机构地区：[1]四川省人民医院泌尿外科,四川成都610072

出　　处：《医药前沿》2022年第18期4-7,共4页Journal of Frontiers of Medicine

摘　　要：目的:探讨腹腔镜肾盂成形术治疗小儿肾盂输尿管连接处梗阻(UPJO)的效果。方法:选取2016年2月—2021年2月四川省人民医院收治的80例UPJO患儿,采用随机数字表法分为对照组和观察组各40例。对照组实施传统开放式肾盂输尿管成形术治疗,观察组实施腹腔镜肾盂成形术治疗。比较两组患儿的治疗效果。结果:两组手术耗时比较,差异无统计学意义(P>0.05);观察组术中出血量少于对照组,术后下床活动时间短于对照组,差异有统计学意义(P<0.05)。观察组的手术切口平均长度短于对照组,术口疼痛VAS评分低于对照组,差异有统计学意义(P<0.05)。观察组的并发症总发生率(15.00%)低于对照组(35.00%),差异有统计学意义(P<0.05)。治疗前,两组患儿的肾盂积水发生率无显著差异(P<0.05);术后1年观察组的肾盂积水总发生率(12.50%)低于对照组(32.50%),差异有统计学意义(P<0.05)。结论:在小儿U P J O治疗中,应用腹腔镜肾盂成形术可提高手术效率、减少手术创伤,对促进患儿术后恢复、降低并发症发生率、缓解肾盂积水情况均有积极意义。Objective To explore the effect of laparoscopy pyeloplasty in the treatment of ureteropelvic junction obstruction(UPJO)in children and its effect on the improvement of postoperative complications and symptoms.Methods 80 children with UPJO treated in Sichuan Provincial People’s Hospital from February 2016 to February 2021 were randomly divided into control group and observation group,with 40 cases in each group.The control group was treated with traditional open pyeloplasty and the observation group was treated with laparoscopic pyeloplasty,.The therapeutic effect and safety of the two groups were compared.Results There was no significant difference in operation time between the two groups(P>0.05);The amount of intraoperative bleeding and the time of getting out of bed after operation in the observation group were lower than those in the control group(P<0.05).The average length of incision and VAS score of postoperative pain in the observation group were lower than those in the control group(P<0.05).The incidence of complications in the observation group(15.00%)was lower than that in the control group(35.00%).The difference was statistically significant(P<0.05).After treatment,the hydronephrosis rate of the observation group(12.50%)was significantly lower than that of the control group(32.50%)(P<0.05).The difference was statistically significant(P<0.05),and the postoperative imaging indications of the observation group were better than those of the control group.Conclusion The application of laparoscopy in UPJO pyeloplasty in children can improve the operation efficiency and reduce the surgical trauma.It is of positive significance to promote the postoperative recovery of children,reduce the risk of complications and alleviate hydronephrosis.

关 键 词：肾盂输尿管连接处梗阻 腹腔镜技术 肾盂成形术 症状改善 术后并发症 

分 类 号：R692.7[医药卫生—泌尿科学]