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目的:比较应用后腹腔镜技术与开放手术对部分上尿路疾病的治疗,总结和提高后腹腔镜技术水平,逐步扩大后腹腔镜技术的适应证,为进一步治疗下尿路疾病奠定基础。方法:回顾性分析后腹腔镜组188例(A组),开放手术组139例(B组)资料,分别就手术时间、出血量、术后排气时间、术后住院日等进行比较,统计学t检验。结果:两组手术均顺利完成,疗效无差异(P>0.05),与开放手术组相比,后腹腔镜组术中及术后出血量、术后排气时间、术后住院日均明显减少(P<0.05),手术时间部分长于开放组,部分短于开放组。结论:上尿路疾病应用后腹腔镜技术,不会干扰和污染腹腔脏器,具有出血少、损伤小、痛苦少、康复快等优点。随着技术水平的不断提高,部分手术时间必将进一步缩短。在泌尿外科领域后腹腔镜技术将得到更加广泛的应用。
Objective: To compare the treatment of partial upper urinary tract diseases with retroperitoneal laparoscopy and open surgery, to summarize and improve the level of retroperitoneal laparoscopy and gradually expand the indications of retroperitoneal laparoscopy, so as to lay the foundation for the further treatment of lower urinary tract diseases. Methods: The data of 188 cases (group A) and 139 cases of open surgery group (group B) were retrospectively analyzed. The operative time, bleeding volume, postoperative exhaust time and postoperative hospital stay were compared. Statistics T test. Results: There was no difference in the curative effect between the two groups (P> 0.05). Compared with the open surgery group, the postoperative laparoscopic surgery group and postoperative bleeding volume, postoperative exhaust time and postoperative hospitalization were significantly decreased (P <0.05). The operative time was longer than that of the open group and partly shorter than that of the open group. Conclusion: The application of retroperitoneal laparoscopy in upper urinary tract diseases will not interfere with and contaminate the abdominal organs. It has the advantages of less bleeding, less damage, less pain and quick recovery. As the technical level continues to improve, part of the operation time will be further shortened. Laparoscopic surgery in the field of urology will be more widely used.