结肠系膜入路与后腹腔入路腹腔镜肾盂成形术治疗肾积水患儿的效果比较

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Abstract Objective To study the effect of mesenteric approach and retroperitoneal approach laparoscopic pyeloplasty in children with hydronephrosis, and to analyze the effects on the levels of renal blood flow in peak systolic velocity(PS), time average maximal velocity (TAMx), end diastolic peak velocity (ED) and time avarage minimum velocity(TAMn). Methods The clinical data of 117 children with hydronephrosis who received laparoscopic pyeloplasty in Shenyang Children′s Hospital from October 2018 to October 2020 were retrospectively analyzed. According to the difference of surgical approach, they were divided into group A (55 cases) and group B (62 cases). The mesenteric approach was adopted in group A, and the retroperitoneal approach was adopted in group B. The postoperative hydronephrosis and improvement of partial renal function, operative index level, PS, TAMx, ED and TAMn levels were compared between the two groups. Results There was no statistically significant difference in the improvement of postoperative hydronephrosis between the two groups (P>0.05). There was no statistically significant difference in the improvement of postoperative renal function between the two groups (P>0.05). The duration of operation in group A was longer than that in group B, and the intraoperative blood loss was less than that in group B, the differences were statistically significant (P<0.05). After treatment, the levels of PS, TAMx, ED and TAMn in group A were higher than those in group B, the differences were statistically significant (P<0.05). Conclusion Laparoscopic pyeloplasty via mesocolonic approach in the treatment of hydronephrosis in children has shorter operation duration, less intraoperative blood loss,and can effectively improve the level of renal hemodynamic indicators in children.

Key words： Hydronephrosis Mesocolal approach Posterior abdominal approach Pyeloplasty Renal hemodynamics

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DONG Xiaosong. Effect comparision of laparoscopic pyeloplasty with mesenteric approach and retroperitoneal approach on hydronephrosis in children[J]. 中国当代医药, 2022, 29(6): 48-51.

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https://www.dangdaiyiyao.com/EN/ OR https://www.dangdaiyiyao.com/EN/Y2022/V29/I6/48

[1]	沈宏峰，朱其聪，黄尉，等.不同入路腹腔镜下肾盂成形术在肾盂输尿管连接部梗阻中的疗效及对胃肠功能的影响[J].西部医学，2019，31（2）：241-244.
[2]	赵平，李婷，李志，等.小儿肾积水给予脐旁入路与传统入路腹腔镜肾盂成形术治疗的对比分析[J].中国妇幼保健，2020，35（1）：70-72.
[3]	谢华伟，周辉霞，马立飞，等.腹腔镜肾盂成形术治疗新生儿重度肾积水[J].中华实用儿科临床杂志，2013，28（5）：387-389.
[4]	谢华伟，周辉霞，马立飞，等.两种经脐腹腔镜肾盂成形术治疗儿童肾积水的疗效比较[J].中华小儿外科杂志，2015，36（10）：732-735.
[5]	胡健，彭强.后腹腔镜下离断式肾盂成形术对重度先天性肾积水患儿手术指标、疼痛评分及预后的影响[J].解放军医药杂志，2021，33（3）：87-90.
[6]	李骥，张谦，郭立华，等.腹腔镜肾盂成形术治疗儿童肾积水并肾外伤6 例[J].中华实用儿科临床杂志，2021，36（4）：296-299.
[7]	葛文安，王盛兴，郭涛，等.腹腔镜肾盂成形术与传统肾盂成形术治疗小儿肾积水疗效对比研究[J].陕西医学杂志，2019，48（5）：584-587.
[8]	顾绍栋，王瑛珣，陆如纲，等.双线悬吊法经腹腔入路腹腔镜下肾盂成形术[J].中华腔镜泌尿外科杂志（电子版），2019，13（5）：325-328.
[9]	任伟刚，段燚星.后腹腔镜精准辅助小切口离断肾盂成形术治疗小儿肾盂输尿管连接部梗阻（附22 例报告）[J].中国内镜杂志，2019，25（1）：89-93.
[10]	刘伟，杜国强，张丽娟，等.经背部小切口入路离断式肾盂成形术治疗小婴儿UPJO 的疗效观察[J].中华小儿外科杂志，2015，36（10）：724-727.
[11]	范登信，梁朝朝，潮敏，等.常规器械经自制手套port 单孔腹腔镜肾盂成形术治疗小儿肾盂输尿管连接处梗阻[J].安徽医科大学学报，2018，53（4）：635-638.
[12]	康延杰，杨金辉，吕文伟，等.结肠系膜入路与后腹腔入路腹腔镜肾盂成形术治疗小儿肾积水的疗效对比研究[J].腹腔镜外科杂志，2021，26（2）：136-139.
[13]	王馨，张蕾.腹腔镜肾盂成形术的单中心分析（附98 例报告）[J].腹腔镜外科杂志，2021，26（3）：223-226.
[14]	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.
[15]	余世万，杨军，孙凯，等.经脐三通道腹腔镜肾盂成形术治疗小儿肾积水疗效观察及对肾功能影响[J].数理医药学杂志，2021，34（6）：805-807.