腰部小切口离断性肾盂成形术治疗肾盂输尿管连接部梗阻临床分析

目的探讨腰部小切口离断性肾盂成形术治疗肾盂输尿管连接部梗阻的临床疗效。方法选取笔者所在医院2008年2月～2011年12月收治的肾盂输尿管连接部梗阻患者236例,随机分为两组,采用腰部小切口非离断性肾盂成形术治疗患者118例为对照组,采用腰部小切口离断性肾盂成形术治疗患者118例为观察组,比较两组患者的各项临床指标及临床疗效。结果观察组手术时间、住院时间均长于对照组,差异均无统计学意义(P>0.05)。观察组术中出血量明显少于对照组,观察组肾积水改善总有效率(92.4%)明显高于对照组(73.7%),观察组并发症发生率(5.9%)明显低于对照组(15.3%),差异有统计学意义(P<0.05)。结论腰部小切口离断性肾盂成形术治疗肾盂输尿管连接部梗阻具有显著的临床疗效,患者术中出血量较少且肾积水改善明显,并发症发生率也较低,值得临床推广使用。

Waist mini incision of Anderson-Hynes pyeloplasty for the treatment of ureteropelvic junction obstruction

Objective To investigate the clinical efficacy on waist mini incision of Anderson-Hynes pyeloplasty for the treatment of ureteropelvic junction obstruction. Methods 236 patients with ureteropelvic junction obstruction were selected in the hospital from February 2008 to December 2011,who were divided into two groups randomly.118 patients used waist mini incision of non Anderson-Hynes pyeloplasty in the treatment as the control group. 118 patients used waist mini incision of Anderson-Hynes pyeloplasty in the treatment as the observation group. Various clinical indicators and clinical curative effect were compared between two groups. Results Operation time,hospital stay time in the observation group were longer than those in the control group,but there were no significant differences between them (P > 0.05). Bleeding volume in operation in the observation group was less than that in the control group. Hydronephrosis total improvement rate in the observation group(92.4%) was significantly higher than that in the control group (73.7%). Complication rate in the observation group(5.9%)was significantly lower than that in the control group (15.3%) . The difference was statistically significant( P < 0.05) . Conclusion Waist mini incision of Anderson-Hynes pyeloplasty for the treatment of ureteropelvic junction obstruction has significant clinical efficacy,bleeding of patients was less,hydronephrosis of patients was improved obviously,the complication rate is low,it is worthy of clinical use.