腹腔镜下经肠系膜途径与结肠旁途径肾盂成形术的疗效比较

目的：通过与传统结肠旁途径肾盂成形术的效果比较.评价经肠系膜途径肾盂成形术的临床价值.方法：回顾性分析经肠系膜途径行肾盂成形术（A组）及经结肠旁途径行肾盂成形术（B组）患者的临床资料,就两组手术时间、术中出血量、术后肠道功能恢复时间、术后止疼药用量、术后住院天数、并发症和成功率等指标进行比较.根据数据类型选用X2检验、成组t检验或Mann-Whitey U检验.结果：A组在手术时间、术后肠道功能恢复时间和术后住院天数方面优于B组,差异有统计学意义（P〈0.01） 术中出血量、术后止疼药用量、术后并发症、手术成功率与B组相当.差异无统计学意义（P〉0.05）.结论：经肠系膜途径肾盂成形术是一种治疗肾盂输尿管连接部梗阻的微创、安全、有效的方法,术后恢复快,随着腹腔镜手术的不断普及、术者手术操作技术的不断熟练及对腹腔镜下解剖的深入了解,该术式将在临床上有着更加广泛的应用前景.

A Comparison of the Clinical Outcome Between Transmesenteric Laparoscopic Pyeloplasty and Retrocolic Laparoscopic Pyeloplasty

Objective：To assess the clinical value of transmesenteric laparoscopic pyeloplasty compared results to those in patients undergoing traditional retrocolic laparoscopic pyeloplasty. Methods： Retrospective analysis of transmesenteric clinical approach （group A） and the clinical paracolic way （group B） of patients with clinical data, compared two groups of operation time, perioperative bleeding and postoperative recovery time, bowel function after pain--killer dosage, postoperative hospital stay, complications and success rate etc. According to the data type selected X z test, group t test or Mann - Whitey U test. Results：Patient demographics were similar between the two groups. In group A, operation time, recovery of intestinal function, postoperative length of hospital stay are better than those in group B （P~O. 01 ）. No intraoperative complications occurred in either group. Incidence of postoper- ative complications.analgesic requirements.estimated blood loss and success rate are equivalent in group A and B （P~〉0.05）. Conclusions：Superior mesenteric way pyeloplasty is a treatment of ureteropelvic junction obstruction of the minimally invasive, safe and effective method, rapid postoperative recovery, with the growing popularity of laparoseopic surgery, the surgeon skilled surgical technique andthe continuous peritoneal microscopic understand- lag of anatomy, the surgical procedures will have a more extensive clinical application.