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laparoscopic辅助切碎皮叶整形与UPJO的开放型皮叶整形与儿科的功能不佳的脏
Mohammad Daboos1, Rachida Lamiri2, Bochra Aziza2
1Department of Pediatric Surgery, Al-Azhar University Hospitals, Cairo, Egypt. daboosmohammad@gmail.com.
International urology and nephrology
|September 26, 2023
概括
laparoscopic辅助整形术有效地治疗患有功能不良 (<10%) 的儿科UPJO,提供与开放手术相似的结果,操作时间更短. 在某些特定情况下,这种方法是脏救援的可行选择.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 最少侵入性的手术
- 维护功能 维护功能
背景情况:
- 在患有严重功能损失 (<10%) 的儿科患者中,尿管皮层结节阻塞 (UPJO) 的管理仍在争论中.
- 手术的选择包括切除与脏救援手术,如皮埃洛塑性.
- 这项研究比较了在这个特定的患者群体中,腹腔镜辅助的肌肉整形与开放的肌肉整形.
研究的目的:
- 评估腹腔镜辅助皮叶整形与开放式皮叶整形的疗效和结果.
- 为了比较UPJO和功能不良的儿科患者的手术时间和功能结果.
- 为了确定腹腔镜皮埃洛普拉斯蒂是否提供与脏功能<10%的脏开放式皮埃洛普拉斯蒂相似的功能结果.
主要方法:
- 对65名患有UPJO,水 (III级) 和功能≤10%的儿科患者的回顾性评估.
- 患者接受了腹腔镜辅助皮叶整形 (A组,n=40) 或开放式皮叶整形 (B组,n=25).
- 术前时间,并发症和术前和术后分裂功能的比较.
主要成果:
- 在这两组中都没有报告任何手术后并发症.
- laparoscopic-assisted pyeloplasty (90±12分钟) 的平均手术时间与开放式 pyeloplasty (120±11分钟) 相比显著缩短.
- 两个小组都在手术后显著改善了分裂功能,腹腔镜和开放方法之间没有统计学上显著的差异.
结论:
- laparoscopic-assisted pyeloplasty是一种有效且安全的治疗方法,用于患有功能不良 (<10%) 的儿科UPJO.
- 该程序的功能结果与开放式皮埃洛塑性相美.
- 较短的手术时间使得腹腔镜辅助造术在这种患者群体中成为脏救援的有利选择.
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