三种不同方式的肾盂成形术治疗UPJO的疗效分析

发布时间：2019-08-08 20:15

【摘要】：回顾性分析71例行肾盂成形术患者的临床资料,分为机器人辅助腹腔镜(RALP)组、传统腹腔镜(LP)组和开放(OP)组。RALP组手术时间明显短于LP组和OP组,差异有统计学意义(P0.001);LP组和OP组手术时间差异无统计学意义。3组患者术中出血量、术后肾周引流量及拔管天数、术后住院天数、住院费用比较差异有统计学意义(P0.05)。LP组较OP组微创,术中出血量、术后肾周引流量及拔管天数、住院天数均减少,RALP组则将这些优势进一步扩大,但费用明显高于其他组。3组患者手术并发症无明显差异,均无严重并发症发生,并且RALP及LP组无1例转为开放手术。3组患者术后通过定期行彩超、静脉肾盂造影(IVU)、泌尿系磁共振水成像(MRU)、肾图、核素动态肾脏显像(选择其中1至3项)检查,证实均未再发梗阻,肾盂积水均有不同程度减轻,分肾功能均有不同程度改善。
[Abstract]:The clinical data of 71 patients with pyeloplasty were analyzed retrospectively. they were divided into robot assisted laparoscopic (RALP) group, traditional laparoscopic (LP) group and open (OP) group. The operation time in RALP group was significantly shorter than that in LP group and OP group (P0.001). There was no significant difference in operation time between LP group and OP group. There were significant differences in intraoperative blood loss, perirenal drainage and extubation days, postoperative hospitalization days and hospitalization expenses between the three groups (P 0.05). The minimally invasive, intraoperative bleeding, perirenal drainage and extubation days and hospitalization days in). LP group were significantly lower than those in OP group, but these advantages were further expanded in RALP group. However, the cost of operation was significantly higher than that of other groups. There was no significant difference in operative complications among the three groups, and no serious complications occurred in RALP and LP groups. No recurrent obstruction was confirmed by regular color Doppler ultrasound, intravenous pyelography (IVU), urography (MRU), renogram and radionuclide dynamic renal imaging (1 to 3 of them). Hydronephrosis was alleviated in different degrees, and renal function was improved in different degrees.
【作者单位】：安徽医科大学第一附属医院泌尿外科;安庆市第一人民医院泌尿外科;安徽医科大学第一附属医院泌尿外科研究所;
【基金】：卫计委国家临床重点专科建设项目(泌尿外科2012) 合肥市科技局“借转补”医疗卫生项目(2015) 安徽省省级质量工程项目-虚拟仿真实验教学中心(编号:2014xnzx028)
【分类号】：R699.2

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