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目的:讨论气膀胱腹腔镜Cohen输尿管移植术治疗输尿管末端狭窄的临床疗效,为日后的临床治疗提供参考。方法:选择2011年3月--2013年4月收治的输尿管末端狭窄患儿20例为研究对象,随机分为两组,即观察组与对照组,每组患儿10例。观察组患儿给予气膀胱腹腔镜Cohen输尿管移植术治疗,对照组患儿给予常规手术治疗,对比两组患儿的临床疗效。结果:经过临床治疗,观察组患儿手术时间为88.25±42.06min,术中失血量为5.52±3.17ml,切口长度为1.82±1.15cm;对照组患儿手术时间为179.76±32.10min,术中失血量为10.30±2.46ml,切口长度为9.46±1.02cm,两组患儿比较差异有统计学意义,P<0.05。结论:通过对输尿管末端狭窄患儿给予气膀胱腹腔镜Cohen输尿管移植术治疗,不仅在临床指标上比较理想,同时患儿的康复率较高,出现感染、并发症等概率较低,对患儿的积极意义较大,日后可推广应用。
Objective: To discuss the clinical curative effect of laparoscopic Cohen ureter transplantation for the treatment of ureteric stenosis and provide reference for future clinical treatment. Methods: Twenty children with ureteral stricture admitted to our hospital from March 2011 to April 2013 were enrolled and randomly divided into two groups: observation group and control group, with 10 children in each group. Children in the observation group were treated with laparoscopic Cohen ureteric pneumoperitoneum. Patients in the control group were given conventional surgery and the clinical efficacy was compared between the two groups. Results: After clinical treatment, the operation time of the observation group was 88.25 ± 42.06min, the intraoperative blood loss was 5.52 ± 3.17ml and the incision length was 1.82 ± 1.15cm. The operation time of the control group was 179.76 ± 32.10min, Blood loss was 10.30 ± 2.46ml, incision length was 9.46 ± 1.02cm, the difference between the two groups was statistically significant, P <0.05. CONCLUSIONS: Gastro-laparoscopic Cohen ureter transplantation for children with stenosed ureter is not only ideal in clinical indications, but also has a high rate of recovery, infection and low probability of complications. The positive significance of larger, future promotion.