后腹腔镜治疗小儿泌尿外科疾病的临床价值

Clinical Value of Retroperitoneal Laparoscopic Surgery in the Treatment of Urological Diseases in Children

目的:探究在小儿泌尿外科疾病中使用后腹腔镜手术治疗的临床价值。方法:选取2015年8月-2019年3月笔者所在医院泌尿外科患儿66例为研究对象,随机分为两组,每组33例。开腹组实施传统开腹手术治疗,后腹腔镜组实施后腹腔镜手术治疗,比较两组手术时间、住院时间、术中出血量、胃肠功能恢复时间及术后6个月疾病复发情况。结果:后腹腔镜组手术时间、住院时间均短于开腹组,胃肠功能恢复时间早于开腹组,术中出血量少于开腹组,差异均有统计学意义(P<0.05);术后6个月,两组均未见疾病复发。结论:对泌尿外科患儿实施后腹腔镜手术治疗,可缩短手术时间及术后胃肠功能恢复时间、减少术中出血量,并对提升术后康复速度具有积极意义,具有一定的临床应用价值。

Objective:To explore the clinical value of retroperitoneal laparoscopic surgery in the treatment of urological diseases in children.Method:A total of 66 children in the department of urology of our hospital from August 2015 to March 2019 were selected as the study objects and randomly divided into two groups,33 cases in each group.The laparotomy group received traditional laparotomy,and the retroperitoneal laparoscopic group received retroperitoneal laparoscopic surgery.The operation time,hospitalization time,amount of bleeding in the operation,gastrointestinal function recovery time and disease recurrence 6 months after operation were compared between the two groups.Result:The operation time,hospitalization time of the retroperitoneal laparoscopic group were shorter than those of the laparotomy group,gastrointestinal function recovery time was earlier than that of the laparotomy group,and the amount of bleeding in the operation was less than that of the laparotomy group,the differences were statistically significant (P<0.05).Six months after operation,no disease recurrence was found in both groups.Conclusion:Retroperitoneal laparoscopic surgery for children with urological diseases can shorten the operation time and gastrointestinal function recovery time,reduce the amount of bleeding in the operation.It is of positive significance to improve the postoperative recovery speed and has certain clinical application value.