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目的比较经腹膜途径腹腔镜手术与开放手术行肾盂输尿管切开取石术的效果,并探讨腹腔镜手术的优势。方法回顾性分析28例经腹膜途径腹腔镜(A组)、56例开放手术(B组)行肾盂输尿管切开取石术患者的临床资料,对其基本资料(年龄、性别、身高、体质量、病史)、结石情况(位置、大小)、手术情况(手术时间、术中出血量)、术后并发症发生率、术后恢复情况(肠功能恢复、下床活动时间)、住院费用及住院时间等数据进行统计分析。结果 两组手术全部成功,两组患者基本资料、结石情况无明显差异,术后并发症发生率相当,A组在术中出血量、术后恢复速度、住院时间等方面占优势(P<0.05);B组在手术时间及住院费用方面占优势。结论 经腹膜途径腹腔镜肾盂输尿管切开取石术具有创伤小、出血少、恢复快的特点。手术适应证与开放手术相当,条件允许下可替代开放手术。
Objective To compare the effect of peritoneal ureteropexy and laparoscopic peritoneal laparoscopic surgery and open surgery and to explore the advantages of laparoscopic surgery. Methods The clinical data of 28 patients undergoing peritoneal laparoscopy (group A) and 56 patients undergoing open surgery (group B) underwent ureterolithotomy were retrospectively analyzed. The basic data (age, sex, height, body weight, History of the disease, location of the stone, size of the operation, operation time (operation time, intraoperative blood loss), incidence of postoperative complications, postoperative recovery (recovery of bowel function, time of ambulation), hospitalization and hospital stay And other data for statistical analysis. Results All the operations were successful in both groups. There was no significant difference between the two groups in terms of basic information and stone status, and the incidence of postoperative complications was similar. The blood loss, postoperative recovery rate and length of stay in group A were predominant (P <0.05 ); Group B was superior in operation time and hospitalization cost. Conclusions Peritoneal laparoscopic ureteropelvic lithotripsy is characterized by less trauma, less bleeding and faster recovery. Surgery indications and open surgery is quite, under the conditions allowed to replace open surgery.