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目的:探讨腹腔镜上半肾输尿管切除术治疗儿童重复肾输尿管畸形的手术方法和临床效果。方法:2007年1月～2008年10月采用经腹腔路径腹腔镜半肾输尿管切除术治疗儿童重复肾患者8例,其中男3例,女5例,平均年龄38.6个月,左侧3例,右侧5例。观察手术时间、术中出血量和术中、术后并发症及手术效果。结果:8例手术均成功。手术时间73～110min,平均92min,术中出血量5～40ml,平均22ml。术后住院3～6天,平均4.8天。术中和术后均未出现明显并发症。随访1～12个月,平均6.4个月,下半肾功能良好。结论:腹腔镜半肾输尿管切除术治疗儿童重复肾具有创伤小、出血少、恢复快等特点。
Objective: To investigate the surgical method and clinical effect of laparoscopic radical nephroureterectomy in children with recurrent renal ureter deformity. Methods: From January 2007 to October 2008, 8 cases of children with recurrent renal disease underwent laparoscopic transrectal laparoscopic ureterrectomy, including 3 males and 5 females, with an average age of 38.6 months, 3 cases of left, Right in 5 cases. Observation of operation time, intraoperative blood loss and intraoperative and postoperative complications and surgical results. Results: All 8 cases were successful. Surgery time 73 ~ 110min, an average of 92min, intraoperative blood loss of 5 ~ 40ml, an average of 22ml. Postoperative hospital 3 to 6 days, an average of 4.8 days. No obvious complications occurred during and after operation. Follow-up 1 ~ 12 months, an average of 6.4 months, the second half of the kidney function well. Conclusion: Laparoscopic semi-renal ureterrectomy in children with repeated trauma with less trauma, less bleeding, rapid recovery and so on.