[1]吴家成,郑小娟,胡小华,等.经脐三通道腹腔镜肾盂成形术治疗肾积水的效果及对肾功能的影响[J].医学信息,2022,35(08):112-114.[doi:10.3969/j.issn.1006-1959.2022.08.027]
　WU Jia-cheng,ZHENG Xiao-juan,HU Xiao-hua,et al.Effect of Transumbilical Three-channel Laparoscopic Pyeloplasty for Children with Hydronephrosis and its Effect on Renal Function[J].Medical Information,2022,35(08):112-114.[doi:10.3969/j.issn.1006-1959.2022.08.027]
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经脐三通道腹腔镜肾盂成形术治疗肾积水的效果及对肾功能的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年08期
页码:
112-114
栏目:
论著
出版日期:
2022-04-15

文章信息/Info

Title:
Effect of Transumbilical Three-channel Laparoscopic Pyeloplasty for Children with Hydronephrosis and its Effect on Renal Function
文章编号:
1006-1959（2022）08-0112-03
作者:
吴家成; 郑小娟; 胡小华; 等
（中山市妇幼保健院小儿外科，广东 中山 528400）
Author(s):
WU Jia-cheng; ZHENG Xiao-juan; HU Xiao-hua; et al.
(Department of Pediatric Surgery,Zhongshan Maternal and Child Health Hospital,Zhongshan 528400,Guangdong,China)
关键词:
肾积水; 经脐三通道腹腔镜肾盂成形术; 肾功能
Keywords:
hydronephrosis; Transumbilical three-channel laparoscopic pyeloplasty; Renal function
分类号:
R726.9
DOI:
10.3969/j.issn.1006-1959.2022.08.027
文献标志码:
A
摘要:
目的 分析经脐三通道腹腔镜肾盂成形术治疗肾积水的效果及对肾功能水平的影响。方法 回顾性分析2018年5月-2021年5月我院收治的46例肾积水患儿的临床资料，按照手术方法将其分为传统腹腔镜组26例和三通道腹腔镜组20例。传统腹腔镜组行传统腹腔镜肾盂成形术，三通道腹腔镜组则行经脐三通道腹腔镜肾盂成形术，比较两组手术情况、肾功能情况及术后并发症发生情况。结果 三通道腹腔镜组手术时间长于传统腹腔镜组，差异有统计学意义（P＜0.05）；两组术中出血量、引流管放置时间、住院时间、术后进食时间比较，差异无统计学意义（P＞0.05）；三通道腹腔镜组肾盂前后径小于传统腹腔镜组，差异有统计学意义（P＜0.05）；两组BUN、Cr及GFR水平比较，差异无统计学意义（P＞0.05）；两组术后并发症总发生率比较，差异无统计学意义（P＞0.05）。结论 与传统腹腔镜肾盂成形术比较，经脐三通道腹腔镜肾盂成形术在儿童肾盂前后径方面具有优势，且安全性良好，但其手术操作时间略长，建议临床医师应用时结合自身技术优势合理选择手术方案。
Abstract:
Objective To analyze the effect of transumbilical three-channel laparoscopic pyeloplasty in the treatment of hydronephrosis and its effect on renal function.Methods The clinical data of 46 children with hydronephrosis admitted to our hospital from May 2018 to May 2021 were retrospectively analyzed. According to the surgical methods, they were divided into traditional laparoscopy group (26 cases) and three-channel laparoscopy group (20 cases). The traditional laparoscopic group underwent traditional laparoscopic pyeloplasty, and the three-channel laparoscopic group underwent transumbilical three-channel laparoscopic pyeloplasty. The operation, renal function and postoperative complications were compared between the two groups.Results The operation time of the three-channel laparoscopic group was longer than that of the traditional laparoscopic group, and the difference was statistically significant (P<0.05); there was no significant difference in intraoperative blood loss, drainage tube placement time, hospitalization time and postoperative feeding time between the two groups (P>0.05). The anterior and posterior diameters of pelvis in the three-channel laparoscopic group were smaller than those in the traditional laparoscopic group, and the difference was statistically significant (P<0.05); there was no significant difference in BUN, Cr and GFR levels between the two groups (P>0.05). There was no significant difference in the total incidence of postoperative complications between the two groups (P>0.05).Conclusion Compared with traditional laparoscopic pyeloplasty, transumbilical three-channel laparoscopic pyeloplasty has advantages in the anterior and posterior diameter of renal pelvis in children, and it is safe, but the operation time is slightly longer. It is suggested that clinicians should combine their own technical advantages to reasonably select the operation plan.

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更新日期/Last Update: 1900-01-01