腹腔镜治疗成人脐尿管瘘的临床效果

Clinical effect of laparoscope treating adult urachal fistula

目的探讨腹腔镜治疗成人脐尿管瘘(UF)的临床效果。方法选取2011年1月~2017年5月赣南医学院第一附属医院收治的30例成人UF患者,随机分为实验组、对照组,每组15例。实验组采用腹腔镜下脐尿管切除术,对照组采用开放UF切除术治疗。结果实验组的手术时间为(35.4±4.2)min,明显短于对照组的(56.1±6.2)min,术后下床时间为(1.20±0.52)d,明显短于对照组的(2.50±0.64)d,完全康复时间为(4.30±0.84)d,明显短于对照组的(10.50±1.32)d(P<0.05)。实验组术中出血量为(6.20±0.54)ml,明显少于对照组的(25.60±3.45)ml,总有效率为100.00%,高于对照组的66.67%,切口感染率为0,低于对照组的33.33%(P<0.05)。结论腹腔镜手术治疗脐尿管瘘具有手术时间短、康复快、出血量少、切口感染率低、治疗有效率高等优点,值得在临床大力推广。

Objective To investigate the clinical effect of laparoscope treating adult urachal fistula.Methods From January 2011 to May 2017,30 adults with urachal fistula treated in the First Affiliated Hospital of Gannan Medical College were selected and they were randomly divided into the experimental group （n=15） and control group （n=15）.The experimental group was given laparoscopic resection of urachus,whilde the control group was given open UF resection.Results The operation time in the experimental group was （35.4±4.2） rain,which was significantly shorter than that in the control group [（56.1±6.2） mini,and the time to be off bed after surgery in the experimental group was （1.20±0.52） d,which was significantly shorter than that in the control group [（2.50±0.64） d],and the complete recovery time was （4.30±0.84） d in the experimental group,which was significantly shorter than that in the control group [（10.50±.32） d） （P〈0.05）.The in- traoperative amount of bleeding in the experimental group was （6.2±00.54） ml,whieh was fewer than that in the control group [（25.60±3.45） ml],and the total effective rate of the experimental group （100.00%） was higher than that of the control group （66.67%）,and the incision infection rate in the experimental group was 0,which was lower than that of the control group （33.33%） （P〈0.05）.Conclusion Laparoscopic surgery treating UF has the advantages of short operation time,fast recovery,few bleeding,low incision infection rate,and high therapeutic effective rate,which is worthy of extensive promotion in clinic.