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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x~2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。
OBJECTIVE: To evaluate the clinical value of transmesenteric approach pyeloplasty in comparison with conventional colonic bypass pyeloplasty. Methods: We retrospectively analyzed the clinical data of patients undergoing pyeloplasty (group A) with mesenteric approach and pyeloplasty (group B) via colonic route. The operative time, intraoperative blood loss, postoperative intestinal function Recovery time, the amount of postoperative pain medication, postoperative hospital days, complications and success rate and other indicators were compared. According to the type of data selected x ~ 2 test, group t test or Mann-Whitey U test. Results: Group A was superior to group B in operation time, postoperative intestinal function recovery time and postoperative hospital stay, the difference was statistically significant (P <0.01); intraoperative blood loss, postoperative pain medication dosage, The postoperative complications and operation success rate were similar to those in group B, with no significant difference (P> 0.05). Conclusion: The mesenteric approach pyeloplasty is a minimally invasive, safe and effective method for the treatment of ureteropelvic junction obstruction. The method of postoperative recovery is rapid. With the continuous popularization of laparoscopic surgery, The deep understanding of laparoscopic anatomy, the operation will have a more extensive clinical application prospects.