摘要
目的探讨经脐三孔腹腔镜肾盂成形术在小儿肾积水的应用及价值。方法回顾性分析2012年10月至2015年7月本院收治的经脐三孔腹腔镜肾盂成形术治疗的20例肾积水患儿的病例资料。结果 19例手术成功,1例中转开放手术。手术时间90~160分钟,平均120.5分钟;术中出血5~20 ml,平均12.6 ml;术后住院时间6~10天,平均7.8天。术后3个月复查彩超,18例提示肾积水明显改善,肾实质厚度不同程度增加;2例提示肾积水与术前无明显差别,经静脉肾盂造影检查提示吻合口狭窄,行2次手术后肾积水好转。结论经脐三孔腹腔镜肾盂成形术治疗小儿肾积水安全可行、损伤小、术后恢复快、美容效果好。
Objective To discuss the application and value of three-port transumbilical laparoscopic pyeloplasty in children with hydronephrosis. Method We retrospectively reviewed cases of 20 infants with hydronephrosis who underwent three-port transumbilical laparoscopic pyeloplasty from October 2012 to July 2015. Results All operations were successful except for 1 conversion to open surgery.Mean operation time was 120.5 min（range 90-160 min）.Mean intraoperative blood loss was 12.6 ml（range 5-20 ml）.The postoperative hospital stay was 7.8 days（range 6-10 days）.Ultrosound examination indicated that hydronephrosis were relieved and the renal parenchymal thickness increased in 18 cases 3 months after operation.2 cases showed no significant difference in the uronephrosis during the treatment,and the intravenous pyelography indicated that anastomotic stricture,they were improved after the 2 operation. Conclusions Three-port transumbilical laparoscopic pyeloplasty in children with hydronephrosis is safe,feasible,fsat recovery and good cosmetic effect method.
作者
张瑞
萨音白刚
吴希庆
杨建新
张博智
ZHANG Rui SAY WU Xi-qing YANG Jian-xin ZHANG Bo-zhi(The Third Worker Hospital of Baogang Inner Mongolia, Baotou 014010, China)
出处
《发育医学电子杂志》
2016年第2期96-98,共3页
Journal of Developmental Medicine (Electronic Version)
关键词
经脐三孔腹腔镜
肾盂成形
小儿
肾积水
Three-port transumbilical laparoscopic
Pyeloplasty
Children
Hydronephrosis
