后腹腔镜下行离断性肾盂成形术治疗小儿肾盂输尿管连接部梗阻

目的：比较后腹腔镜下行离断性肾盂成形术及传统开放性手术应用于小儿肾盂输尿管连接部(UPJ)梗阻的临床效果。方法该研究方便选取该院2012年3月-2016年4月期间经腹膜后径路实施腹腔镜下离断性肾盂成形术治疗小儿UPJ梗阻38例为实验组，设同期实施开放性离断性肾盂成形术治疗小儿UPJ梗阻38例为对照组，比较两组患者手术时间、手术出血量、术后肛门排气时间、平均住院时间、术后并发症情况及肾积水复发状况。结果实验组患者的平均住院时间为(6.4±1.6)d、术后并发症发生率为1%，对照组患者的平均住院时间为(12.4±3.4)d、术后并发症发生率为5%，后腹腔镜手术组患者在平均住院时间、术后并发症发生率上均明显好于对照组，且差异具有统计学意义(P<0.05)。结论后腹腔镜离断性肾盂成形术应用小儿UPJ梗阻临床疗效确切，且具有安全性高、手术恢复快等优势，是UPJ梗阻患者的首选手术方式，值得临床推广应用。

Clinical Effect of Retroperitoneal Laparoscopic Anderson-Hynes Pyeloplasty in UPJ Obstruction Children

Objective To compare the clinical effect of retroperitoneal laparoscopic Anderson-Hynes pyeloplasty and open operation in children with UPJ obstruction and explore the indicatio. Methods Convenient selection 38 UPJ obstruction children of adopting the retroperitoneal laparoscopic Anderson-Hynes pyeloplasty from March 2012 to April 2016 in our hospital were selected as Experience group. 38 UPJ obstruction children of adopting the open Anderson-Hynes pyeloplasty were selected as control group. The operation time, bleeding amount, exhaust time, average hospitalization time, incidence rate of postoperative complications and recurrence rate of hydronephrosis was compared. Results The average hospitalization time of patients in the experimental group was(6.4±1.6) days, the postoperative complication rate was 1%, the average hospi-talization time control group of patients was (12.4±3.4) days, the incidence of postoperative complications was 5%, after la-paroscopic surgery complications in patients in hospitalization time, postoperative incidence was significantly in the control group, and the difference was statistically significant(P<0.05). Conclusion The retroperitoneal laparoscopic Anderson-Hynes pyeloplasty has an obvious effect in UPJ obstruction children. It shall be firstly recommended for UPJ obstruction children. It is worthy of clinical promotion and application.