【摘要】：回顧性分析71例行腎盂成形術(shù)患者的臨床資料,分為機(jī)器人輔助腹腔鏡(RALP)組、傳統(tǒng)腹腔鏡(LP)組和開放(OP)組。RALP組手術(shù)時(shí)間明顯短于LP組和OP組,差異有統(tǒng)計(jì)學(xué)意義(P0.001);LP組和OP組手術(shù)時(shí)間差異無統(tǒng)計(jì)學(xué)意義。3組患者術(shù)中出血量、術(shù)后腎周引流量及拔管天數(shù)、術(shù)后住院天數(shù)、住院費(fèi)用比較差異有統(tǒng)計(jì)學(xué)意義(P0.05)。LP組較OP組微創(chuàng),術(shù)中出血量、術(shù)后腎周引流量及拔管天數(shù)、住院天數(shù)均減少,RALP組則將這些優(yōu)勢進(jìn)一步擴(kuò)大,但費(fèi)用明顯高于其他組。3組患者手術(shù)并發(fā)癥無明顯差異,均無嚴(yán)重并發(fā)癥發(fā)生,并且RALP及LP組無1例轉(zhuǎn)為開放手術(shù)。3組患者術(shù)后通過定期行彩超、靜脈腎盂造影(IVU)、泌尿系磁共振水成像(MRU)、腎圖、核素動(dòng)態(tài)腎臟顯像(選擇其中1至3項(xiàng))檢查,證實(shí)均未再發(fā)梗阻,腎盂積水均有不同程度減輕,分腎功能均有不同程度改善。
[Abstract]:The clinical data of 71 patients with pyeloplasty were analyzed retrospectively. they were divided into robot assisted laparoscopic (RALP) group, traditional laparoscopic (LP) group and open (OP) group. The operation time in RALP group was significantly shorter than that in LP group and OP group (P0.001). There was no significant difference in operation time between LP group and OP group. There were significant differences in intraoperative blood loss, perirenal drainage and extubation days, postoperative hospitalization days and hospitalization expenses between the three groups (P 0.05). The minimally invasive, intraoperative bleeding, perirenal drainage and extubation days and hospitalization days in). LP group were significantly lower than those in OP group, but these advantages were further expanded in RALP group. However, the cost of operation was significantly higher than that of other groups. There was no significant difference in operative complications among the three groups, and no serious complications occurred in RALP and LP groups. No recurrent obstruction was confirmed by regular color Doppler ultrasound, intravenous pyelography (IVU), urography (MRU), renogram and radionuclide dynamic renal imaging (1 to 3 of them). Hydronephrosis was alleviated in different degrees, and renal function was improved in different degrees.
【作者單位】： 安徽醫(yī)科大學(xué)第一附屬醫(yī)院泌尿外科;安慶市第一人民醫(yī)院泌尿外科;安徽醫(yī)科大學(xué)第一附屬醫(yī)院泌尿外科研究所;
【基金】：衛(wèi)計(jì)委國家臨床重點(diǎn)�？平ㄔO(shè)項(xiàng)目(泌尿外科2012) 合肥市科技局“借轉(zhuǎn)補(bǔ)”醫(yī)療衛(wèi)生項(xiàng)目(2015) 安徽省省級(jí)質(zhì)量工程項(xiàng)目-虛擬仿真實(shí)驗(yàn)教學(xué)中心(編號(hào):2014xnzx028)
【分類號(hào)】：R699.2

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