经后腹腔镜离断式肾孟成形术治疗肾孟输尿管连接部梗阻的临床疗效分析

目的：分析探讨经后腹腔镜离断式肾孟成形术治疗肾孟输尿管连接部梗阻(UPJO)的临床疗效。方法方便选取2008年9月—2016年2月期间该院收治的78例UPJO患者，使用随机数字表法分为观察组(n=39)和对照组(n=39)，对照组患者行开放离断式肾盂成形术，观察组患者行经后腹腔镜离断式肾孟成形术。分析比较两组患者的围手术期指标和手术成功率。结果观察组患者的手术时间(98.37±23.59)min、术后排气时间(1.25±0.21)h、住院时间(6.95±1.58)、术中失血量(32.06±5.33)mL、镇痛药物用量(98.22±18.37)小于对照组(P<0.05)；两组患者的手术成功率比较差异无统计学意义(P>0.05)。结论经后腹腔镜离断式肾孟成形术治疗UPJO疗效显著，可逐渐代替传统开放手术成为临床治疗UPJO的新“金标准”。

Analysis of the Clinical Effect of Retroperitoneal Laparoscopic Surgery in the Treatment of Ureteral Obstruction

Objective To analyze the clinical effect of retroperitoneal laparoscopic surgery in the treatment of renal and ureteral obstruction. Methods Convenient selection 78 cases of UPJO patients in our hospital from September 2008 to February 2016 were randomly divided into two groups, 39 cases of patients in the control group have been treated with treated with open pyeloplasty, and observation group were treated with Retroperitoneal laparoscopic and open surgery. The perioperative indexes and the success rate of the two groups were analyzed and compared. Results The operation time (98.37±23.59)min, postoperative exhaust time (1.25±0.21)h in the observation group were observed.And hospitalization time (6.95±1.58)d,intraoperative blood loss volume (32.06±5.33)mL,analgesic drug dosage (98.22±18.37)mg were less than in the control group (P<0.05);The success rate of the two groups were not statistically significant (P>0.05).Conclusion Retroperi-toneal laparoscopic surgery for the treatment of UPJO has a significant curative effect, and can gradually replace the tradi-tional open surgery to become a new gold standard for clinical treatment of UPJO.