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首页> 外文期刊>Kaohsiung Journal of Medical Sciences >Minimal invasive pyeloplasty technique with vertical surgical approach: An alternative to laparoscopic pyeloplasty
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Minimal invasive pyeloplasty technique with vertical surgical approach: An alternative to laparoscopic pyeloplasty

机译：垂直外科手术微创肾盂成形术：腹腔镜肾盂成形术的替代方法

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摘要

This retrospective clinical study presents pyeloplasty results following a muscle-splitting dissection, with mini-flank incision, using instruments held in a vertical position. Between 2004 and 2010, dismembered pyeloplasty (Anderson-Hynes) was performed in 37 cases (32 males and 5 females) with an average age of 26 years (range, 20–56 years). The technique was carried out through a window opened by separating the lateral abdominal muscles. Operation duration, length of incision, postoperative pain, complications, and radiological and clinical results were discussed. The operation duration was between 50 and 90 minutes (average=65 minutes), the incisional length 5 and 7cm (average=5.2cm), and visual pain scale was 4.1±3.1 and 3.3±3.4 at 4 and 24 hours after the operation, respectively. The duration of hospitalization was between 30 and 120 hours (average=42 hours). In a retrospective analysis of our study, one case was reoperated on, following recurrence with obstruction, there were 9 cases with prolonged dilation in response to diuretics and 29 cases with complete recovery. Pyeloplasty operations, with a vertical surgical approach through smaller incisions and muscle separation, offered shorter periods of hospitalization, less postoperative pain, acceptable cosmetic results and higher rates of functional recovery.
机译：这项回顾性临床研究显示了使用垂直放置的器械，以小腹切口进行肌肉劈开解剖后的肾盂成形术结果。在2004年至2010年之间，对37例（男32例，女5例）进行了肢解性肾盂成形术（Anderson-Hynes），平均年龄为26岁（范围20-56岁）。该技术是通过分离腹部腹肌打开的窗户进行的。讨论了手术时间，切口长度，术后疼痛，并发症以及影像学和临床结果。手术时间为50至90分钟（平均65分钟），切开长度为5至7cm（平均5.2cm），术后4小时和24小时的视觉疼痛等级为4.1±3.1和3.3±3.4，分别。住院时间为30到120小时（平均= 42小时）。在本研究的回顾性分析中，有1例因梗阻复发而再次手术，其中9例对利尿剂的反应延长了扩张时间，29例完全恢复。切开成形术，通过较小的切口和肌肉分离进行垂直外科手术，可缩短住院时间，减少术后疼痛，可接受的美容效果和更高的功能恢复率。

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