[1]王德娟,李科,胡成,等.带线套管针辅助悬吊固定法在婴儿腹腔镜离断肾盂成形术中的应用[J].中华腔镜泌尿外科杂志(电子版),2017,11(03):148-153.[doi:10.3877/cma.j.issn.1674-3253.2017.03.002]
　Wang Dejuan,Li Ke,Hu Cheng,et al.Laparoscopic pyeloplasty in infants: assisted suspension fixation technique for ureteropelvic junction obstruction[J].,2017,11(03):148-153.[doi:10.3877/cma.j.issn.1674-3253.2017.03.002]
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带线套管针辅助悬吊固定法在婴儿腹腔镜离断肾盂成形术中的应用()
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中华腔镜泌尿外科杂志(电子版)[ISSN:1006-6977/CN:61-1281/TN]

卷:
11
期数:
2017年03期
页码:
148-153
栏目:
临床研究
出版日期:
2017-06-30

文章信息/Info

Title:
Laparoscopic pyeloplasty in infants: assisted suspension fixation technique for ureteropelvic junction obstruction
作者:
王德娟; 李科; 胡成; 黄文涛; 邱剑光
510630 广州，中山大学附属第三医院泌尿外科
Author(s):
Wang Dejuan;  Li Ke;  Hu Cheng;  Huang Wentao;  Qiu Jianguang.
Department of Urology, the Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China
关键词:
腹腔镜;  婴儿;  肾盂成形术;  肾盂输尿管连接处梗阻;  悬吊
DOI:
10.3877/cma.j.issn.1674-3253.2017.03.002
摘要:
目的 观察带线套管针辅助悬吊固定法在婴儿肾盂输尿管连接处狭窄腹腔镜手术治疗中的作用。方法 回顾分析2008 年12 月至2017 年2 月32 例经腹腔镜治疗婴儿肾盂输尿管连接处梗阻患者资料，年龄平均9.4 个月（50 d～2 岁），16 例采用经腹膜后入路，16 例经腹腔入路。按术中每组是否采用悬吊法分两个亚组。比较手术及吻合时间、并发症、术后住院时间等。结果经腹和腹膜后入路悬吊法完成吻合口缝合时间均较非悬吊法缩短，差异有统计学差异（P<0.05）。术前超声测肾盂分离值、术后拔管时间、术后住院时间对比两个亚组差异无统计学意义（P>0.05）。总手术时间经腹腔入路（148±30）min，经腹膜后入路（189±48） min，差异有统计学意义（P<0.05）。所有病例手术前超声测量肾盂分离值（3.7±0.6） cm，术后一年复查超声肾盂分离值（1.8±0.5） cm，差异无统计学意义（P>0.05）。1 例术后出现铜绿假单孢菌感染，按药敏结果治疗后控制，1 例出现吻合口狭窄，经输尿管球囊扩张，2 例暂观察中。手术治愈率93.75%（30/32）。无其他并发症。结论 婴儿腹腔镜肾盂离断成形术安全有效，经腹入路手术时间较腹膜后入路短，悬吊法便于缝合有助于降低手术难度。

参考文献/References:

[1] Abou-Haidar H, Al-Qaoud T, Jednak R, et al. Laparoscopic pyeloplasty: Initial experience with 3D vision laparoscopy and articulating shears[J]. J Pediatr Urol, 2016, 12(6): 426.e1-426.e5.
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[3] Ludwikowski BM, Botl?nder M, González R. The BUlT Method for Pediatric Minilaparoscopic Pyeloplasty in infants: Technique and results[J]. Front Pediatr. 2016, 25(4): 54.
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[7] Scarborough PL, Ferrara E, Storm DW. Should prenatal hydronephrosis that resolves before birth be followed postnatally? Analysis and comparison to persistent prenatal hydronephrosis[J]. Pediatr Nephrol, 2015, 30(9): 1485-1491.
[8] Buffi NM, Lughezzani G, Fossati N, et al. Robot-assisted, single-site, dismembered pyeloplasty for ureteropelvic junction obstruction with the new da Vinci platform: a stage 2a study[J]. Eur Urol. 2015. 67(1): 151-156.
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备注/Memo

备注/Memo:
基金项目：国家自然科学基金资助项目（81402111）；广州市科技计划“珠江科技新星”科技创新人才专项（201710010039）；广州市科技计划项目（201707010113）；广东省自然科学基金资助项目（2015A030313031）；广东省医学科研基金资助项目（A2016435）
通讯作者：邱剑光，Email： qjg702@gmail.com
更新日期/Last Update: 2017-06-25