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目的分析探讨经后腹腔镜离断式肾孟成形术治疗肾孟输尿管连接部梗阻(UPJO)的临床疗效。方法方便选取2008年9月—2016年2月期间该院收治的78例UPJO患者,使用随机数字表法分为观察组(n=39)和对照组(n=39),对照组患者行开放离断式肾盂成形术,观察组患者行经后腹腔镜离断式肾孟成形术。分析比较两组患者的围手术期指标和手术成功率。结果观察组患者的手术时间(98.37±23.59)min、术后排气时间(1.25±0.21)h、住院时间(6.95±1.58)、术中失血量(32.06±5.33)m L、镇痛药物用量(98.22±18.37)小于对照组(P<0.05);两组患者的手术成功率比较差异无统计学意义(P>0.05)。结论经后腹腔镜离断式肾孟成形术治疗UPJO疗效显著,可逐渐代替传统开放手术成为临床治疗UPJO的新“金标准”。
Objective To analyze the clinical effect of trans-laparoscopic segmental renal angioplasty in the treatment of renal and ureter obstruction (UPJO). Methods Convenient 78 patients with UPJO who were admitted to our hospital from September 2008 to February 2016 were randomly divided into observation group (n = 39) and control group (n = 39) using random number table, and patients in control group Intermittent pyeloplasty, the observation group after laparoscopic transanal patellar angioplasty. Analysis and comparison of perioperative index and surgical success rate of two groups of patients. Results The operative time (98.37 ± 23.59) min, postoperative exhaust time (1.25 ± 0.21) h, hospital stay (6.95 ± 1.58), intraoperative blood loss (32.06 ± 5.33) m L, analgesic dosage (98.22 ± 18.37) was lower than that of the control group (P0.05). There was no significant difference in the surgical success rate between the two groups (P0.05). Conclusions The treatment of UPJO by retroperitoneal laparoscopic phrenic angioplasty has significant curative effect and can gradually replace traditional open surgery as the new “gold standard” for clinical treatment of UPJO.