摘要
目的探讨3D腹腔镜下行肾盂输尿管成形术与传统腹腔镜相比的手术效果.方法回顾性分析我院2010年4月至2015年1月收治的58例肾盂输尿管连接处阻梗（UPJO）患者的临床资料,根据不同腹腔镜下的手术方法分为试验组和对照组.试验组17例在3D腹腔镜下行肾盂输尿管成形术;对照组41例在2D腹腔镜下行肾盂输尿管成形术治疗,比较两组患者的手术治疗效果.结果两组患者均顺利完成手术且均未出现严重并发症.试验组手术时间短于对照组（P〈0.05）,但两组术中出血量、术后住院时间差异不明显（P〉0.05）.结论3D腹腔镜具有较好的空间定位感,可提高双手和眼睛的协调能力,便于手术器械的处理,减少了手术时间,值得临床推广应用.
Objective To investigate the effect of 3D laparoscopic pyeloplasty for ureteropelvicjunction stricture compared with traditional laparoscopic surgery. Methods The clinical data of 50 cases of patients with uretero pelvicjunction obstruction （UPJO） treated in our hospital were retrospectively analyzed and divided into experimental group and control group according to different laparoscopic surgical methods. Sewenteen cases in the experimental group received 3D laparoscopic renal pelvic ureteroplasty, while 41 cases in the control group received 2D laparoscopic renal pelvic ureteroplasty. The surgical results were compared between the two groups. Results Patients in the two group were successfully completed the surgery and no serious complications happened. The operative time in the experimental group was shorter than that of the control group （P〈0.05）, but there were no significant difference in the intraoperative blood loss, postoperative hospital stay between the two groups （P〉0.05）. Conclusion 3D laparoscopy has a good sense of spatial positioning, which can improve the coordination of ability to facilitate the treatment of surgical instruments both hands and eyes and reduce the operation time, it is worthy of clinical application.
出处
《临床研究》
2017年第4期4-5,共2页
Clinical Research
