腹腔镜下肾盂成形术治疗小儿肾积液临床观察  

Clinical Observation of Laparoscopic Pyeloplasty in the Treatment of Children with Hydro⁃nephrosis

作　　者：马超 符松 单伟 孔飞腾 张第 MA Chao;FU Song;SHAN Wei;KONG Feiteng;ZHANG Di(Department of pediatric surgery,Sichuan Provincial Maternity and Child Health Care Hospital,Chengdu,Sichuan,China 610031)

机构地区：[1]四川省妇幼保健院小儿外科,四川成都610031

出　　处：《中国药业》2022年第S02期158-160,共3页China Pharmaceuticals

摘　　要：目的探讨腹腔镜下肾盂成形术治疗小儿肾积水的临床疗效。方法选取医院2019年1月到2022年1月收治的肾积液患儿60例,按单双号法分为对照组和观察组,各30例,分别选用常规肾盂成形术和腹腔镜下肾盂成形术治疗。结果观察组患儿术后的β2微球蛋白、α1微球蛋白水平均显著低于对照组(t=12.9375,5.9812,P<0.05),血肌酐水平与对照组相当(t=0.2239,P>0.05);住院时间、进食时间、手术时间均显著短于对照组(t=20.7801,11.6125,31.8446,P<0.05),术中出血量显著少于对照组(17.3648,P<0.05);血流舒张期峰值速度、血流收缩期峰值流速、平均速度均显著高于对照组(t=7.4676,3.2168,6.2467,P<0.05),阻力指数与对照组(0.71±0.09)相当(t=1.5191,P>0.05);观察组不良事件发生率及复发率均显著低于对照组(χ^(2)=4.0431,5.1923,P<0.05)。结论腹腔镜下肾盂成形术治疗小儿肾积水,可显著提高预后效果,各项临床指标改善效果较好。Objective To investigate the clinical efficacy of laparoscopic pyeloplasty in the treatment of children with hydronephrosis.Methods A total of 60 children with hydronephrosis admitted to hospital from January 2019 to January 2022 were selected and divided into the observation group and the control group by single and double number method,with 30 cases in each group.The patients in the two groups were given pyeloplasty and laparoscopic pyeloplasty respectively.Results After the operation,the levels ofβ2 Microglobulin andα1 microglobulin were significantly lower than those in the control group(t=129375,5.9812,P<0.05),the blood creatinine level in the observation group was similar to that of the control group(t=02239,P>0.05).The hospitalization time,eating time and operation time in the control group were significantly shorter than those in the control group(t=20.7801,11.6125,31.8446,P<0.05),the amount of intraoperative bleeding in the observation group was significantly less than that in the control group(t=17.3648,P<0.05).The diastolic peak velocity,systolic peak velocity and the average velocity of blood flow in the control group were significantly higher than those in the control group(t=7.4676,3.2168,6.2467,P<0.05),the resistance index in the observation group was similar to that in the control group(071±0.09)(t=1.5191,P>0.05).The incidence and recurrence rate of adverse events in the observation group were significantly lower than those in the control group(χ^(2)=4.0431,5.1923,P<0.05).Conclusion Laparoscopic pyeloplasty in the treatment of children with hydronephrosis can significantly improve the prognosis and the clinical indicators.

关 键 词：肾积液 小儿 腹腔镜 肾盂成形术 

分 类 号：R692[医药卫生—泌尿科学]