三孔腹腔镜离断式肾盂成形术治疗小儿肾积水的效果  

Effect of Three-port Laparoscopic Detached Pyeloplasty in the Treatment of Hydronephrosis in Children

作　　者：杨越 宣晓琪[1] 浦晓[1] 徐建国[1] 杨金龙 YANG Yue;XUAN Xiaoqi;PU Xiao;XU Jianguo;YANG Jinlong(Department of Urology,Wuxi Children's Hospital,Wuxi 214000,China)

机构地区：[1]无锡市儿童医院泌尿外科,江苏无锡214000

出　　处：《中国医学创新》2024年第35期11-14,共4页Medical Innovation of China

基　　金：无锡市卫生健康委科研项目基金(Z202314)。

摘　　要：目的:探究分析肾积水患儿采用三孔腹腔镜离断式肾盂成形术治疗的临床效果。方法:采用对比分析研究方案,将无锡市儿童医院收治的92例肾积水患儿作为分析样本,入院时间为2021年4月—2024年1月,以随机抽签法分为观察组、对照组,各46例。对照组患儿采取开放离断式肾盂成形术,观察组患儿采取三孔腹腔镜离断式肾盂成形术。对比两组手术相关指标、并发症发生率、肾功能指标、复发率。结果:观察组手术失血量、肾周引流量均较对照组少,拔管时间早于对照组,手术时间及住院时间均短于对照组(P<0.05);观察组并发症发生率低于对照组,差异有统计学意义(P<0.05);观察组术后3 d血肌酐(Scr)、血尿素氮(BUN)水平均低于对照组,肾小球滤过率(GFR)高于对照组,差异均有统计学意义(P<0.05);两组复发率比较,差异无统计学意义(P>0.05)。结论:肾积水患儿采用三孔腹腔镜离断式肾盂成形术治疗可缩短手术时间,减少手术失血量,缩短术后恢复时间,降低并发症发生率,改善肾功能,且复发率较低。Objective:To explore and analyze the clinical effect of three-port laparoscopic detached pyeloplasty on children with hydronephrosis.Method:A comparative analysis study scheme was adopted.92 children with hydronephrosis admitted to Wuxi Children's Hospital from April 2021 to January 2024 were taken as analysis samples.They were divided into observation group and control group by random lottery method,with 46 cases in each group.The control group underwent open detached pyeloplasty,and the observation group underwent three-port laparoscopic detached pyeloplasty.Operation related indexes,complication rate,renal function indexes and recurrence rate were compared between the two groups.Result:The operative blood loss and drainage volume of perinephric space in the observation group were lower than those in the control group,the extubation time was earlier than that in the control group,the operative time extubation time and hospitalization time were shorter than those in the control group(P<0.05).The incidence of complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).3 d after surgery,the levels of serum creatinine(Scr)and blood urea nitrogen(BUN)in observation group were lower than those in control group,and the glomerular filtration rate(GFR)was higher than that in control group,the differences were statistically significant(P<0.05).There was no significant difference in recurrence rate between the two groups(P>0.05).Conclusion:Three-port laparoscopic detached pyeloplasty for children with hydronephrosis can shorten the operation time,reduce the operative blood loss,shorten the postoperative recovery time,reduce the incidence of complications,improve renal function,and the recurrence rate is low.

关 键 词：三孔腹腔镜 离断式肾盂成形术 肾积水 

分 类 号：R726.9[医药卫生—儿科]