腹腔镜肾盂成形术,小儿肾积水,肾盂输尿管连接部梗阻," /> 腹腔镜肾盂成形术,小儿肾积水,肾盂输尿管连接部梗阻,"/> Laparoscopic pyeloplasty,Pediatric,hydronephrosis,Ureteropelvic junction obstruction.,"/> <span style="line-height:2;font-size:14px;">经脐单部位腹腔镜与传统经腹腹腔镜</span><span style="line-height:2;font-size:14px;">肾盂成形术的疗效比较</span>
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发育医学电子杂志  2016, Vol. 4 Issue (2): 88-91    
  生长发育   论著 |
经脐单部位腹腔镜与传统经腹腹腔镜肾盂成形术的疗效比较
林松 陈海涛
林松 陈海涛(湖北省妇幼保健院 泌尿外科,武汉 430000)
Comparison of conventional and transumbilical single-port laparoscopic pyeloplasty for the treatment to hydronephrosis in children
LIN Song, CHEN Hai-tao
LIN Song, CHEN Hai-tao(Department of Urology, Maternal and Child Health Hospital of Hubei Province, Wuhan, 430000, China)
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摘要  目的  比较经脐单部位腹腔镜与普通前手术入路腹腔镜肾盂成形术治疗儿童肾盂输尿管连接部梗阻的手术效果。方法 收集20141 月至201511月本院诊治的112例肾积水患儿资料,其中传统经腹腹腔镜手术52例(A组),经脐单部位腹腔镜手术60例(B组),比较两组在手术时间、术中出血量、引流管留置情况、术后住院天数、手术成功率等方面的差别。结果  手术均获得成功,两组均无中转开放手术,两组的手术时间、术中出血量、术后住院时间等方面差异均无统计学意义。 结论 传统经腹腹腔镜肾盂成形术及经脐单部位腹腔镜肾盂成形术治疗小儿肾积水均属安全可行的方法,但经脐单部位腹腔镜较传统经腹腹腔镜肾盂成形术具有操作空间更理想、外观美容效果更好的优势。
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关键词:  腹腔镜肾盂成形术')" href="#">腹腔镜肾盂成形术  小儿肾积水')" href="#">小儿肾积水  肾盂输尿管连接部梗阻')" href="#">肾盂输尿管连接部梗阻    
Abstract: Objective To compare the clinical effect and safety of conventional and transumbilical single-port laparoscopic pyeloplasty for the treatment of hydronephrosis(UPJO)in children. Method 112 children with hydronephrosis between January 2014 and November 2015 were collected to clinical research. Conventional laparoscopic pyeloplasty was applied in 52 cases(GroupA),and transumbilical single-port laparoscopic pyeloplasty was applied in 60 cases(GroupB).The operative time, intraoperative blood lost, duration of the urethral catheter time, the postoperative hospital stay and the postoperative result were compared between the 2 groups. Results All operations were successful without conversion to open surgery.There were no significant diferences in the operative time, the intraoperative blood lost and the postoperative hospital stay between two groups. Conclusions Conventional and transumbilical single-portlaparoscopic pyeloplastyin treatment of hydronephrosis in children are safe and feasible, but transumbilical single-port laparoscopic pyeloplasty has more operating space and better cosmetic effect.
Key words:  Laparoscopic pyeloplasty')" href="#">Laparoscopic pyeloplasty    Pediatric')" href="#">Pediatric    hydronephrosis')" href="#">hydronephrosis    Ureteropelvic junction obstruction.')" href="#">Ureteropelvic junction obstruction.
收稿日期:  2016-02-22                出版日期:  2016-04-30      发布日期:  2018-01-30      期的出版日期:  2016-04-30
通讯作者:  陈海涛:http://chenht.haodf.com/    E-mail:  a-y1-16@163.com
引用本文:    
林松 陈海涛. 经脐单部位腹腔镜与传统经腹腹腔镜肾盂成形术的疗效比较[J]. 发育医学电子杂志, 2016, 4(2): 88-91.
LIN Song, CHEN Hai-tao. Comparison of conventional and transumbilical single-port laparoscopic pyeloplasty for the treatment to hydronephrosis in children. Journal of Developmental Medicine(Electronic Version), 2016, 4(2): 88-91.
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[1] 胡啸天 彭澎 段支前. 小儿后腹腔与经脐单部位腹腔镜肾盂成形术的治疗比较[J]. 发育医学电子杂志, 2016, 4(2): 92-96.
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