修改后的利希-格雷戈尔技术的初步应用和有效性评估,用于管理初级阻塞性巨型水域
Zaibing Ye1, Lingfei Wang1, Xingru Fu1
1Department of Pediatric Surgery, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.
Journal of pediatric surgery
|February 20, 2026
概括
经过修改的利希-格雷戈尔技术为儿科初级阻塞性大尿道 (POM) 提供了安全有效的治疗方法,成功减少尿道扩张和水,成功率为100%.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 最少侵入性的手术
- 尿道重建 尿道重建
背景情况:
- 主要阻塞性大尿道 (POM) 是一种先天性疾病,需要手术干预.
- 传统的手术方法可能涉及显著的发病率.
- 一种经过修改的利希-格雷戈尔技术为POM治疗提供了一种新的方法.
研究的目的:
- 评估Lich-Gregoir修改技术在患有POM的儿科患者中的临床疗效和安全性.
- 为了比较机器人辅助腹腔镜尿管再植入 (RALUR) 与腹腔镜尿管再植入 (LUR).
主要方法:
- 对38名患有POM的儿科患者进行了修改后的利希-格雷戈尔手术.
- 技术涉及在膀圆顶上创建一个新的尿管孔,并嵌入尿管.
- 患者使用RALUR或LUR进行治疗.
主要成果:
- 所有手术都是成功的,没有手术内并发症.
- 与LUR相比,RALUR显示了较短的操作时间和减少的血液持续时间.
- 在术后观察到尿管直径和骨盆前后直径的显著减少.
- 100%的成功率,没有复发性阻塞;尿路感染率低.
结论:
- 修改后的利希-格雷戈尔技术在治疗POM方面是有效的,可以缓解尿道扩张和水.
- 这种技术在儿科患者中显示出有希望的结果和高的成功率.
- 无论是RALUR还是LUR方法,都以最小的并发症产生了良好的结果.
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