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后腹腔镜与开放式肾蒂淋巴管结扎术治疗乳糜尿的疗效比较(附46例报告)
引用本文:金亿里,汪朔,周长春,卢大乔,熊冰. 后腹腔镜与开放式肾蒂淋巴管结扎术治疗乳糜尿的疗效比较(附46例报告)[J]. 中国微创外科杂志, 2011, 11(11): 995-997
作者姓名:金亿里  汪朔  周长春  卢大乔  熊冰
作者单位:1. 温州医学院附属东阳医院泌尿外科,东阳,322100
2. 浙江大学附属第一医院泌尿外科,杭州,310003
摘    要:目的评价后腹腔镜肾蒂淋巴管结扎术的临床价值。方法回顾性分析2003年1月~2009年12月肾蒂淋巴管结扎术治疗乳糜尿46例的临床资料,其中后腹腔镜组19例,开放组27例,比较2组的手术时间、术中出血量、术后疼痛、术后拔管时间、术后住院时间、随访时间、复发率及并发症。结果与开放组相比,后腹腔镜组手术时间短[(94.3±18.4)min vs.(134.9±25.0)min,t=-6.013,P=0.000],术中出血量少[(55.0±29.8)ml vs.(148.7±54.9)ml,t=-6.755,P=0.000],术后使用镇痛药物者少[36.8%(7/19)vs.85.2%(23/27),χ2=11.490,P=0.001],术后住院时间短[(5.1±0.9)dvs.(11.7±2.2)d,t=-14.279,P=0.000]。2组引流管留置时间、并发症发生率、复发率、随访时间差异均无显著性(P〉0.05)。结论后腹腔镜肾蒂淋巴管结扎术治疗乳糜尿微创、安全、有效。

关 键 词:乳糜尿  肾蒂淋巴管结扎术  后腹腔镜

Comparison between Retroperitoneoscopic Renal Pedicle Lymphatic Dissection with Open Surgery for Chyluria: Report of 46 Cases
Jin Yili,Wang Shuo,Zhou Changchun,et al.. Comparison between Retroperitoneoscopic Renal Pedicle Lymphatic Dissection with Open Surgery for Chyluria: Report of 46 Cases[J]. Chinese Journal of Minimally Invasive Surgery, 2011, 11(11): 995-997
Authors:Jin Yili  Wang Shuo  Zhou Changchun  et al.
Affiliation:Jin Yili,Wang Shuo,Zhou Changchun,et al.Department of Urology,Dongyang Affiliated Hospital,Wenzhou Medical College,Dongyang 322100,China
Abstract:Objective To evaluate the clinical value of retroperitoneoscopic renal pedicle lymphatic disconnection for the treatment of chyluria.Methods From January 2003 to December 2009,we retrospectively analyzed the data of 46 patients with chyluria,who recieved renal pedicle lymphatic disconnection by retroperitoneal laparoscopy(19 cases),or open surgery(27 cases).The operation time,blood loss,postoperative pain,drainage duration,hospital stay,follow-up time,recurrence rate and complications were compared between ...
Keywords:Chyluria  Renal pedicle lymphatic disconnection  Retroperitoneoscopy  
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