开放手术和腹腔镜手术治疗肾盂输尿管交界部梗阻的疗效比较

The comparison of two kinds of the clinical curative effect of surgical treatment and border ureteropelvic junction obstruction

目的：探讨腹腔镜手术和开放手术在肾盂尿管交界部梗阻治疗方法的临床效果差异。方法：随机选取本院2013-09~2015-06收治的肾盂尿管交界部梗阻患者68例,按照随机数字表法将其分为开放手术组和腹腔镜组,其中腹腔镜组患者采用后腹腔镜下离断式肾盂成形术进行治疗,开放手术组患者则行开放离断式肾盂成形术,所有患者均签署知情同意书,对其手术时间、术中出血情况、住院时间等手术资料进行观察分析。结果：腹腔镜组患者的手术时间、术中出血量、术后排气时间及住院时间均明显优于开放手术组患者,差异具有显著性（P〈0.05）。结论：采用后腹腔镜离断式肾盂成形术治疗肾盂输尿管交界部梗阻,能够有效促进患者病情的缓解,且手术创伤小,患者术后恢复快,可作为开放式肾盂成形术的可靠替代治疗方案。

Objective： To study the differences of clinical effect on the treatment of laparoscopic surgery and open surgery in the renal pelvis ureter obstruction. Methods： 68 cases of patients with renal pelvis ureter obstruction in our hospital from September 2013 to June 2015 were randomly selected. According to random number table method,it can be divided into open surgery group and laparoscopic group. The laparoscopic group were treated by laparoscopic pyeloplasty,while open surgery group were treated by open line from fault type pyeloplasty. Results：All patients signed informed consent. The operation time,intra operative bleeding,operation data,such as the length of hospital stay were observed and analyzed. Conclusion： The laparoscopic group of patients with operation time,intraoperative blood loss,postoperative exhaust time and hospital stay were significantly better than those in open surgery group of patients.