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目的:探讨后腹腔镜下输尿管膀胱再植术的手术方法及临床价值。方法:51例患者分为2组:27例行后腹腔镜下输尿管膀胱再植术,24例行经腹的腹腔镜下输尿管膀胱再植术。比较两组在手术时间、出血量、术后住院时间、术后并发症发生率及肾积水缓解率等方面差异是否有统计学意义。结果:所有患者均成功进行手术,两组在手术时间、出血量、住院时间、并发症及术后肾积水缓解率等方面差异均无统计学意义。结论:腹腔镜下输尿管膀胱再植术安全、有效,是一种有益的探索。
Objective: To investigate the surgical method and clinical value of retroperitoneoscopic ureter bladder replantation. Methods: Fifty-one patients were divided into two groups: 27 cases underwent retroperitoneal laparoscopic ureteric bladder replantation and 24 cases underwent laparoscopic transurethral ureter bladder replantation. The two groups were compared in terms of operation time, blood loss, postoperative hospital stay, postoperative complications and hydronephrosis alleviation rate differences were statistically significant. Results: All the patients were successfully operated. There was no significant difference in the operation time, blood loss, hospitalization time, complications and postoperative hydronephrosis rate between the two groups. Conclusion: Laparoscopic ureteral bladder replantation is safe and effective. It is a useful exploration.