山东大学学报(医学版) ›› 2017, Vol. 55 ›› Issue (7): 95-99.doi: 10.6040/j.issn.1671-7554.0.2016.1706
徐加龙,孙小刚,王军锋,刘倩,马楠,李殿国,陈维秀,李金良,王若义
XU Jialong, SUN Xiaogang, WANG Junfeng, LIU Qian, MA Nan, LI Dianguo, CHEN Weixiu, LI Jinliang, WANG Ruoyi
摘要: 目的 比较经腹腔镜手术与开放手术治疗原发性膀胱憩室的临床效果。 方法 回顾性分析2009年9月至2016年7月收治的22例原发性膀胱憩室患者的临床资料,分为开放手术组12例,腹腔镜手术组10例。采用两独立样本均数t检验,比较两组患者手术时间及术中出血量。采用配对t检验,分别比较两组患者术前、术后排尿时膀胱压力及尿流率结果。采用两独立样本均数近似t检验,比较两组患者术前、术后排尿时膀胱压力及尿流率数值变化。 结果 腹腔镜手术组较开放手术组手术时间延长(P<0.05),出血量减少(P<0.05)。开放手术组术后随访(13.6±4.0)个月,腹腔镜手术组术后随访(13.6±5.7)个月。两组患者术后排尿时膀胱压力均较术前降低(P<0.05);术后最大尿流率均较术前增加(P<0.05)。术后患者尿流曲线改善。比较两组患者术前、术后排尿时膀胱压力及尿流率数值变化,差异均无统计学意义(P>0.05)。术后均未再出现膀胱输尿管返流,无膀胱憩室复发,排尿正常,未再出现排尿困难。 结论 经腹腔镜切除原发性膀胱憩室,手术创伤小,出血少,与开放手术效果无明显差异,是理想的微创手术方式。
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