经腹腔镜手术与开放手术治疗原发性膀胱憩室临床效果比较

发布时间：2018-04-27 20:30

本文选题：原发性 + 膀胱憩室　；参考：《山东大学学报(医学版)》2017年07期

【摘要】：目的比较经腹腔镜手术与开放手术治疗原发性膀胱憩室的临床效果。方法回顾性分析2009年9月至2016年7月收治的22例原发性膀胱憩室患者的临床资料,分为开放手术组12例,腹腔镜手术组10例。采用两独立样本均数t检验,比较两组患者手术时间及术中出血量。采用配对t检验,分别比较两组患者术前、术后排尿时膀胱压力及尿流率结果。采用两独立样本均数近似t检验,比较两组患者术前、术后排尿时膀胱压力及尿流率数值变化。结果腹腔镜手术组较开放手术组手术时间延长(P0.05),出血量减少(P0.05)。开放手术组术后随访(13.6±4.0)个月,腹腔镜手术组术后随访(13.6±5.7)个月。两组患者术后排尿时膀胱压力均较术前降低(P0.05);术后最大尿流率均较术前增加(P0.05)。术后患者尿流曲线改善。比较两组患者术前、术后排尿时膀胱压力及尿流率数值变化,差异均无统计学意义(P0.05)。术后均未再出现膀胱输尿管返流,无膀胱憩室复发,排尿正常,未再出现排尿困难。结论经腹腔镜切除原发性膀胱憩室,手术创伤小,出血少,与开放手术效果无明显差异,是理想的微创手术方式。
[Abstract]:Objective to compare the clinical effects of laparoscopic surgery and open surgery in the treatment of primary bladder diverticulum. Methods the clinical data of 22 patients with primary bladder diverticulum from September 2009 to July 2016 were retrospectively analyzed. The patients were divided into open operation group (n = 12) and laparoscopic surgery group (n = 10). Two independent sample mean t test were used to compare the operation time and intraoperative bleeding volume between the two groups. The results of bladder pressure and urinary flow rate before and after urination were compared by paired t test. Two independent sample mean approximate t test were used to compare the changes of bladder pressure and urine flow rate before and after urination in two groups. Results the operation time of laparoscopy group was longer than that of open operation group, and the amount of blood loss was decreased. The postoperative follow-up was 13.6 卤4.0 months in the open operation group and 13.6 卤5.7 months in the laparoscopic operation group. The bladder pressure in both groups was lower than that before operation, and the maximal flow rate after operation was higher than that before operation (P 0.05). Postoperative urinary flow curve was improved. There was no significant difference between the two groups in the changes of bladder pressure and urinary flow rate before and after urination (P 0.05). There was no recurrence of bladder ureteral reflux, no recurrence of bladder diverticulum, normal urination and no dysuria. Conclusion Laparoscopic resection of primary bladder diverticulum is an ideal minimally invasive procedure with less trauma and less bleeding.
【作者单位】：山东大学第二医院小儿外科;
【分类号】：R726.9

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