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在儿科泌尿外皮交叉路口阻塞的门诊手术的可行性分析
Tong Fang1, Rugang Lu1, Ting Chen1
1Day Operation Ward, Department of Pediatric Surgery, Children's Hospital of Nanjing Medical University, Nanjing, China.
Frontiers in pediatrics
|July 23, 2025
概括
门诊性腹腔镜皮叶整形术是一种安全有效的治疗儿科尿道皮层结口阻塞 (UPJO). 这种方法可以减少住院时间和费用,而不会增加并发症率.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 最少侵入性的手术
- 健行护理服务提供者
背景情况:
- 泌尿外皮交点阻塞 (UPJO) 是儿童水性的常见原因之一.
- 传统的UPJO住院治疗可能会导致长时间住院和增加成本.
研究的目的:
- 评估 laparoscopic pyeloplasty 的可行性和安全性,用于 ambulatory 手术环境中的儿科 UPJO.
- 为了比较儿科UPJO的住院和门诊外科手术方法之间的结果.
主要方法:
- 对于UPJO,对78名接受住院腹腔镜整形的儿童和74名接受门诊腹腔镜整形的儿童进行了回顾性分析.
- 两组之间的手术时间,住院时间,住院费用和术后并发症的比较.
主要成果:
- 在住院和门诊组之间,年龄,性别或手术时间没有显著差异.
- 门诊组的住院时间更短,住院费用降低,导管导管/支架切除时间更短.
- 术后并发症的发生率 (重新手术,尿路感染,发烧,疼痛) 在两组中都相似.
结论:
- 在门诊环境中进行 laparoscopic pyeloplasty 是儿科 UPJO 的安全有效选择.
- 门诊手术改善了医院资源的利用率,并降低了患者的成本,而不会影响安全.
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