Abstract：Objective To explore the clinical effect of retroperitoneal laparoscopic surgery in the treatment of severe congenital hydronephrosis in children. Methods A total of 80 children with severe congenital hydronephrosis admitted to Zibo Maternal and Child Health Hospital from April 2017 to December 2019 were selected as the research objects.They were divided into two groups by a random number table method, with 40 cases in each group. The control group underwent conventional laparotomy, and the observation group underwent retroperitoneal laparoscopic surgery. The changes in glomerular filtration rate before and after the operation were compared. The thickness and area of renal parenchyma were compared between the two groups after 3 months. Renal function and postoperative complications were compared between the two groups after treatment. Results After 24 hours and 7 days after operation, the glomerular filtration rate of the two groups was higher than that before operation, and that of the observation group was higher than that of the control group, the differences were statistically significant(P＜0.05); at the follow-up 3 months later, the renal parenchymal thickness and area of the observation group were greater than those of the control group, and the differences were statistically significant (P＜0.05); the levels of urea nitrogen and blood creatinine in the renal function indexes of the observation group were lower than those of the control group group, the differences were statistically significant (P＜0.05); the total incidence of postoperative complications in the observation group was lower than that of the control group, and the difference was statistically significant (P＜0.05). Conclusion Compared with conventional open surgery, retroperitoneal laparoscopic surgery in children with congenital severe hydronephrosis can more effectively protect the renal function of the patients, promote the regeneration of renal parenchymal tissue and the recovery of renal function after surgery, and has fewer complications and high safety.
周鹏. 后腹腔镜手术治疗小儿先天性重度肾积水的临床效果[J]. 中国当代医药, 2021, 28(3): 142-144.
ZHOU Peng. Clinical effect of retroperitoneal laparoscopic surgery in the treatment of children with severe congenital hydronephrosis. 中国当代医药, 2021, 28(3): 142-144.
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