摘要
目的对比后腹腔镜手术与开放手术治疗小儿先天性重度肾积水的临床效果。方法选取2018年8月至2022年10月单县东大医院泌尿外科的78例先天性重度肾积水患儿,按随机数字表法分为观察组(39例,后腹腔镜手术)与对照组(39例,开放手术),观察各项指标。结果与对照组相比,观察组术中出血量少,手术时间及住院时间短,肾小球滤过率高,肾实质厚度及面积大,并发症总发生率低(P<0.05)。结论先天性重度肾积水患儿给予后腹腔镜手术治疗,能获得较好的手术效果,可改善患儿病情,促进术后恢复,且并发症发生率低,整体效果优于开放手术治疗,值得借鉴。
Objective To compare the clinical effect of retroperitoneal laparoscopic surgery and open surgery in the treatment of severe congenital hydronephrosis in children.Methods A total of 78 children with congenital severe hydronephrosis were selected in the Department of Urology in Shanxian Dongda Hospital from August 2018 to October 2022,and divided into observation group(39 cases,retroperitoneal laparoscopic surgery)and control group(39 cases,open surgery)according to random number table method to observe the indexes.Results Compared with the control group,the observation group had less intraoperative blood loss,shorter operation time and hospital stay,higher glomerular filtration rate,larger renal parenchyma thickness and area,and lower total incidence of complications(P<0.05).Conclusion Retroperitoneal laparoscopic surgery for children with congenital severe hydronephrosis can achieve better surgical effect,improve the condition of the children and promote postoperative recovery,and the incidence of complications is low.The overall effect is better than open surgery,which is worth learning.
作者
周新平
ZHOU Xinping(Department of Urology,Shanxian Dongda Hospital,Shandong Province,Heze 274300,China)
出处
《妇儿健康导刊》
2023年第11期58-60,共3页
JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE
关键词
后腹腔镜手术
开放手术
小儿先天性重度肾积水
疗效
Retroperitoneal laparoscopic surgery
Open surgery
Congenital severe hydronephrosis in children
Curative effect
