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目的:通过与开放性肾蒂淋巴管结扎术的临床效果比较,评价后腹腔镜肾蒂淋巴管结扎术的临床价值。方法:回顾性分析后腹腔镜肾蒂淋巴管结扎术54例(A组)及开放性肾蒂淋巴管结扎术29例(B组)的临床资料,就两组患者一般资料、手术时间、术中出血量、术后肠道功能恢复时间、术后止痛药用量、术后住院天数、术后感染和复发率等指标进行比较。根据数据类型选用χ~2检验、两样本t检验或Wilcoxon秩和检验,P<0.05为差异有统计学意义。结果:两组患者的一般资料相似,差异无统计学意义,具有可比性。后腹腔镜手术组在手术时间、术中出血量、术后肠道功能恢复时间、术后止痛药用量、术后住院天数、术后感染和术后乳糜尿复发率等方面优于开放手术组,差异有统计学意义(P<0.05)。结论:后腹腔镜肾蒂淋巴管结扎术治疗乳糜尿疗效肯定,与传统的开放性手术相比,创伤小、恢复快、疗效满意,是目前治疗乳糜尿较理想的手术方法,值得进一步推广。
OBJECTIVE: To evaluate the clinical value of retroperitoneoscopic laparoscopic lymphatic drainage of the kidneys by comparing with the clinical results of open renal pedicle lymphatic ligation. Methods: The clinical data of 54 cases with retroperitoneal laparoscopic renal pedicle lymphatic ligation (group A) and 29 cases with open renal pedicle lymphatic drainage (group B) were retrospectively analyzed. The general data, operation time and operation In the amount of bleeding, postoperative intestinal function recovery time, postoperative pain medication dosage, postoperative hospital days, postoperative infection and recurrence rate and other indicators were compared. According to data type selection χ ~ 2 test, two sample t test or Wilcoxon rank sum test, P <0.05 for the difference was statistically significant. Results: The two groups of patients with similar general information, the difference was not statistically significant, comparable. The laparoscopic surgery group was better than open surgery in operation time, intraoperative blood loss, postoperative intestinal function recovery time, postoperative pain medication dosage, postoperative hospital stay, postoperative infection and postoperative chyluria recurrence rate Group, the difference was statistically significant (P <0.05). Conclusion: Laparoscopic renal pedicle lymphatic drainage for the treatment of chyluria is effective, compared with the traditional open surgery, trauma, rapid recovery, satisfactory efficacy, is the more ideal surgical treatment of chyluria, and should be further promoted.