手术治疗与微创治疗输尿管狭窄疗效对比分析.docVIP

精品论文 参考文献 手术治疗与微创治疗输尿管狭窄疗效对比分析 张守利 迟庆龙 张尧 戴小凡 曹庆贤 郑立军 [摘 要]目的：比较手术治疗与微创治疗输尿管狭窄的疗效。方法：研究的对象来源为我院及本地区二家三甲医院泌尿外科2012年3月—2015年8月输尿管狭窄患者100例，随机分组，常规手术组患者采取开放手术；腔内微创组患者采取球囊扩张微创手术，对比手术效果。结果：腔内微创组治愈率跟常规手术组相似，差异不显著（P＞0.05）。腔内微创组手术时间、术中失血量、术后胃肠恢复时间、治疗时间均明显少于常规手术组，有统计学差异（P＜0.05）。结论：常规开放手术治疗与球囊扩张微创手术治疗输尿管狭窄的疗效相似，但球囊扩张微创手术操作更简单，可缩短手术时间，且术中出血少，术后胃肠功能恢复快，可缩短患者住院时间，值得推广。 [关键词]手术治疗 微创治疗 输尿管狭窄 疗效 DOI:10.3760/cma.j.issn.0376-2491.2016.16.14 作者单位：张守利，迟庆龙， 张尧，戴小凡，132011，吉林省吉林市，吉林市中心医院泌尿外科；曹庆贤，132011，吉林省吉林市，北华大学附属医院泌尿外科；郑立军，132000，吉林省吉林市，吉林市222医院泌尿外科。 Comparative analysis of the curative effect of surgical treatment and minimally invasive treatment of ureteral stricture Zhang Shouli ,Chi Qinglong, Zhang Yao, Dai Xiaofan, Cao Qingxian, Zheng Lijun Abstract：Objective: To compare the therapeutic effect of surgical treatment and minimally invasive treatment of ureteral stricture. Methods: the object of 100 cases of urinary surgery in our hospital in March 2013, 2015 August ureteral stenosis, were randomly divided into routine operation group of patients take open surgery; minimally invasive endovascular patients take balloon dilatation of minimally invasive surgery, compared to the effect of the operation. Results: the cure rate of the minimally invasive group was similar to that of the conventional surgery group, and the difference was not significant (P gt; 0.05). Intracavitary minimally invasive group, operation time, intraoperative blood loss volume, postoperative gastrointestinal function recovery time and treatment time were significantly less than the conventional surgery group, significant difference (P lt; 0.05). Conclusion: the curative effect of conventional open surgery and balloon dilatation of minimally invasive surgery in the treatment of ureteral stenosis are similar, but the balloon dilatation of minimally invasive operation more simple, can shorten the operation time and less bleeding in operation, postoperative gastrointestinal function quick recovery, can short