改进式后腹腔镜下离断式肾盂成形术在小儿泌尿外科中的应用研究

Applied research of improved Retroperitoneal laparoscopic pyeloplasty in pediatric urology

目的研究改进式后腹腔镜下离断式肾盂成形术在小儿泌尿外科中的应用。方法选择2009-2013年于该院接受小儿后腹腔镜离断式肾盂成形术患儿48例,依腹腔镜手术方式分为A组和B组,每组患儿24例;A组采用改进式后腹腔镜下离断式肾盂成形术双J管置入方法,B组采用传统后腹腔镜下离断式肾盂成形术双J管置入方法。对比2组患儿手术时间、术中出血量及术后住院时间。结果 A组患儿手术时间、术中出血量、术后住院时间均少于B组,差异有统计学意义(P<0.05)。结论改进式后腹腔镜下离断式肾盂成形术应用于小儿泌尿外科手术,在确保治疗效果的同时给予对患儿造成的伤害更小,值得临床推广应用。

Objective To explore the application of improved Retroperitoneal laparoseopie pyeloplasty in pediatric urology. Methods 48 eases of pediatric retroperitoneal laparoseopie pyeloplasty for ureteropelvie junction obstruction in the hospital between 2009 -2013 ,were divided into group A and group B by the operation way of the laparoscopie operation. Group A use the improved retroperitoneal laparoseopie pyeloplasty placement of double J tube, Group B use the traditional retroperitoneal laparoseopie pyeloplasty placement of double J tube, compare the operation time, bleeding volume, postoperative hospitalization time of the 2 groups. Results The operation time, bleeding volume, postoperative hospitalization time of group A was less than group B, and the difference was statistieally significant（ P 〈 0.05 ）. Conclusion The improved Retroperitoneal laparoscopie pyeloplasty used in pediatric urology can make less injuries to children, without to reduce the effect of treatment, is worthy of clinical recommended method.