河北医科大学学报

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经腹腔途径3D腹腔镜与传统2D腹腔镜下治疗小儿肾盂输尿管连接部梗阻的效果评价

  

  1. 河北医科大学第二医院泌尿外科,河北 石家庄 050000
  • 出版日期:2019-09-25 发布日期:2019-09-16
  • 作者简介:杜蕾(1986-),女,河北石家庄人,河北医科大学第二医院主治医师,医学硕士,从事小儿泌尿外科疾病诊治研究。

The therapeutic evaluation of transperitoneal 3D laparoscopy and traditional 2D laparoscopy in the treatment of children with ureteropelvic junction obstruction

  1. Department of Urology Surgery, the Second Hospital of Hebei Medical University, Shijiazhuang 050000, China
  • Online:2019-09-25 Published:2019-09-16

摘要: [摘要]
〖HTH〗目的〖HTSS〗〖KG*2〗评价经腹腔途径3D腹腔镜与传统2D腹腔镜下治疗小儿肾盂输尿管连接部梗阻的效果。
〖HTH〗方法〖HTSS〗〖KG*2〗选取51例肾盂输尿管连接部梗阻患儿,手术均为经腹腔途径,其中24例行3D腹腔镜下肾盂成形术,27例行2D腹腔镜下肾盂成形术,评价其术中、术后及随访情况。
〖HTH〗结果〖HTSS〗〖KG*2〗2组均手术顺利,且经6个月以上随访,未发现严重并发症。3D组手术时间短于2D组(P<0.05),但2组术中出血量及术后住院时间差异均无统计学意义(P>0.05)。
〖HTH〗结论〖HTSS〗〖KG*2〗3D腹腔镜在术中能呈现三维立体视觉,可降低手术难度,缩短手术时间,更能提高腹腔镜手术的安全性及精确性,效果肯定,值得临床推广。

关键词: 肾盂输尿管连接部梗阻, 3D腹腔镜, 肾盂成形术

Abstract: [Abstract] Objective〖HTSS〗To evaluate the curative effect of transperitoneal 3D laparoscopy and traditional 2D laparoscopy in the treatment of children with ureteropelvic junction obstruction.
〖HTH〗〖WTHZ〗Methods〖HTSS〗A total of 84 patients with the disease of ureteropelvic junction obstruction were enrolled. All of them were operated through the peritoneal pathway. 24 cases in the 3D group received 3D laparoscopic pyeloplasty, while 27 cases in the 2D group received 2D laparoscopic pyeloplasty. The surgical results were compared between the two groups.
〖HTH〗〖WTHZ〗Results〖HTSS〗All of the surgeries were uneventful, and no serious complications were found after following up for more than 6 month. The operative time between the two groups had significant difference, which 3D group shorter than 2D group(P<0.05),but no obvious difference happened in the intraoperative blood loss and postoperative hospital stay(P>0.05).
〖HTH〗〖WTHZ〗Conclusion〖HTSS〗3D laparoscope can display threedimensional vision during surgery like the real vision, which can make the field of surgery lifelike, reduce the degree of surgery, shorten the operative time, and improve the accuracy and safety of laparoscopic surgery. 3D laparoscope can make a certainly curative effect and significantly clinical value.

Key words: ureteropelvic junction obstruction, 3D laparoscope, pyeloplasty