经脐三孔腹腔镜,肾盂成形,小儿,肾积水 ," /> 经脐三孔腹腔镜,肾盂成形,小儿,肾积水 ,"/> Three-port transumbilical laparoscopic ,Pyeloplasty, Children, Hydronephrosis,"/> <span style="line-height:2;font-size:14px;">经脐三孔腹腔镜肾盂成形术在小儿</span><span style="line-height:2;font-size:14px;">肾积水的应用及价值</span>
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发育医学电子杂志  2016, Vol. 4 Issue (2): 96-99    
  生长发育   论著 |
经脐三孔腹腔镜肾盂成形术在小儿肾积水的应用及价值
张瑞 萨音白刚 吴希庆 等  
张瑞 萨音白刚 吴希庆 杨建新 张博智(内蒙古包钢集团第三职工医院 泌尿科,内蒙古 包头 014010)
Application and value of three-port transumbilical laparoscopic pyeloplasty in children with hydronephrosis
ZHANG Rui, SAYIN Baigang, WU Xi-qing, et al
ZHANG Rui, SAYIN Baigang,WU Xi-qing, YANG Jian-xin, ZHANG Bo-zhi(The Third Worker Hospital of Baogang Inner Mongolia, Baotou 014010, China)
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摘要  目的  探讨经脐三孔腹腔镜肾盂成形术在小儿肾积水的应用及价值。方法 回顾性分析2012年10月至2015年7月本院收治的经脐三孔腹腔镜肾盂成形术治疗的20例肾积水患儿的病例资料。结果 19例手术成功,1例中转开放手术。手术时间90~160分钟,平均120.5分钟;术中出血5~20 ml,平均12.6 ml;术后住院时间6~10天,平均7.8天。术后3个月复查彩超,18例提示肾积水明显改善,肾实质厚度不同程度增加;2例提示肾积水与术前无明显差别,经静脉肾盂造影检查提示吻合口狭窄,行2次手术后肾积水好转。结论 经脐三孔腹腔镜肾盂成形术治疗小儿肾积水安全可行、损伤小、术后恢复快、美容效果好。
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关键词:  经脐三孔腹腔镜')" href="#"> 经脐三孔腹腔镜  肾盂成形')" href="#">肾盂成形  小儿')" href="#">小儿  肾积水 ')" href="#">肾积水     
Abstract: Objective To discuss the application and value of three-port transumbilical laparoscopic pyeloplasty in children with hydronephrosis. Method We retrospectively reviewed cases of 20 infants with hydronephrosis who underwent three-port transumbilical laparoscopic pyeloplasty from October 2012 to July 2015. Results All operations were successful except for 1 conversion to open surgery.Mean operation time was 120.5 min(range 90-160 min).Mean intraoperative blood loss was 12.6 ml(range 5-20 ml).The postoperative hospital stay was 7.8 days(range 6-10 days).Ultrosound examination indicated that hydronephrosis were relieved and the renal parenchymal thickness increased in 18 cases 3 months after operation.2 cases showed no significant difference in the uronephrosis during the treatment,and the intravenous pyelography indicated that anastomotic stricture,they were improved after the 2 operation. Conclusions Three-port transumbilical laparoscopic pyeloplasty in children with hydronephrosis is safe,feasible,fsat recovery and good cosmetic effect method.
Key words:  Three-port transumbilical laparoscopic ')" href="#">Three-port transumbilical laparoscopic    Pyeloplasty')" href="#">Pyeloplasty    Children')" href="#"> Children    Hydronephrosis')" href="#"> Hydronephrosis
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:  萨音白刚:http://www.yihu.com/doctor/nmgzzq/E7286357D8CF4E8E86AC62A85832C4E5.shtml    E-mail:  75130702@qq.com
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张瑞 萨音白刚 吴希庆 等. 经脐三孔腹腔镜肾盂成形术在小儿肾积水的应用及价值[J]. 发育医学电子杂志, 2016, 4(2): 96-99.
ZHANG Rui, SAYIN Baigang, WU Xi-qing, et al. Application and value of three-port transumbilical laparoscopic pyeloplasty in children with hydronephrosis. Journal of Developmental Medicine(Electronic Version), 2016, 4(2): 96-99.
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[1] 陶天 周辉霞 王超 等. 小儿经脐单孔腹腔镜肾盂成形术经肠系膜途径与结肠旁途径的疗效比较[J]. 发育医学电子杂志, 2016, 4(3): 165-169.
[2] 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.
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