摘要
目的探讨腹腔镜膀胱壁瓣法输尿管膀胱再植术治疗先天性梗阻性巨输尿管的临床疗效。方法43例先天性梗阻性巨输尿管患儿分为观察组和对照组,观察组采用腹腔镜膀胱壁瓣法输尿管膀胱再植术治疗,对照组采用开放性膀胱壁瓣法输尿管膀胱再植术进行治疗,分析二组治疗后临床疗效。结果观察组手术时间显著长于对照组(P<0.05),但术中出血量及切口长度要显著少于对照组(P<0.05);二组患者在术后止痛药使用时间、禁食时间、抗生素使用时间、住院天数、留置引流管时间、术后恢复时间及并发症组间差异有统计学意义(P<0.05),但二组患者住院费用组间差异无统计学意义(P>0.05)。结论采用腹腔镜膀胱壁法输尿管膀胱再植术治疗先天性梗阻性巨输尿管具有切口小、术中出血少、并发症少恢复快等优点,抗返流效果明确,具有较高的临床应用价值,值得推广应用。
Objective To evaluate the clinical efficacy of transperitoneal bladder-flap ureterovesical implantation in treating congenital obstructive megaureter.Methods Totally 43 cases of children with congenital obstructive megaureter were divided into observation group and control group,the observation group was treated with transperitoneal bladder-flap ureterovesical implantation,the control group was treated with open bladder wall flap ureteral reimplantation,and then the clinical efficacy was analyzed.Results Operative time in the observation group was significantly longer than the control group（P〈0.05）,but whose blood loss and incision length was significantly less（P〈0.05）.The postoperative analgesics use of time,fasting time,antibiotic usage time,length of stay,drainage tube time,postoperative recovery time and complications between the two groups had significant difference（P〈0.05）,but hospital costs had no statistically significant（P〉0.05）.Conclusions Transperitoneal bladder-flap ureterovesical implantation in treating congenital obstructive megaureter has a small incision,less bleeding,fewer complications and quicker recovery.It has a high clinical value with clear anti-reflux effect,is worthy to be widely applied.
出处
《中国煤炭工业医学杂志》
2015年第8期1264-1266,共3页
Chinese Journal of Coal Industry Medicine
基金
国家自然科学基金项目(30872749)
