自制单孔与三孔后腹腔镜肾蒂淋巴管结扎术治疗乳糜尿的临床疗效比较

发布时间：2018-07-28 20:02

【摘要】：目的探讨自制单孔后腹腔镜肾蒂淋巴管结扎术治疗乳糜尿的安全性及临床疗效。方法回顾性分析2013年2月-2016年3月接受单孔后腹腔镜肾蒂淋巴管结扎术或三孔后腹腔镜肾蒂淋巴管结扎术治疗乳糜尿的34例患者临床资料,其中单孔组(16例)和三孔组(18例)。两组患者的年龄、体质指数(BMI)比较差异无统计学意义(P0.05)。比较两组的手术时间、术中出血量、术后引流管留置天数、术后住院天数、术后疼痛评分和外观满意度评分等指标。结果所有手术均获成功,无中转开放手术。单孔组平均手术时间长于三孔组[(132.4±21.6)vs(102.3±16.1)min,P0.05],两组在术中出血量、术后拔管时间和术后住院天数方面比较差异无统计学意义,但单孔组术后满意度评分、疼痛评分优于三孔组。结论自制单孔后腹腔镜肾蒂淋巴管结扎术治疗乳糜尿是一种安全有效、经济、微创的方法,术后疼痛较轻,美容效果更好。
[Abstract]:Objective to investigate the safety and clinical efficacy of a self-made single hole laparoscopic renal pedicle lymphatic ligation in the treatment of chyluria. Methods the clinical data of 34 cases of chyluria treated by laparoscopic renal pedicle ligation or three hole laparoscopic renal pedicle lymphatic ligation in March, -2016, February 2013, were retrospectively analyzed. 6 cases and three hole group (18 cases). The age of the two groups and the body mass index (BMI) were not statistically significant (P0.05). The operation time of the two groups, the amount of intraoperative bleeding, the number of postoperative drainage tube indwelling days, the postoperative hospital days, the postoperative pain score and the appearance satisfaction score were measured. All the results were successful and no transfer open operation. The average operation time of the single hole group was longer than that of the three foramen Group [(132.4 + 21.6) vs (102.3 + 16.1) min), P0.05], the amount of bleeding in the two groups, the postoperative extubation time and the postoperative hospital days were not statistically significant, but the postoperative satisfaction score of the single hole group was better than the three hole group. Conclusion the self-made single hole laparoscopic renal pedicle lymphatic ligation Treatment of chyluria is a safe, effective, economical, minimally invasive method with less postoperative pain and better cosmetic results.
【作者单位】：蚌埠医学院第一附属医院泌尿外科;
【基金】：安徽省高校自然科学基金(No:KJ2015A280)
【分类号】：R699

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