CLINICAL EFFECT OF DIFFERENT METHODS OF URETERAL BLADDER REPLANTATION

Wei Tang^#, Huiqing Niu^#, Yunbo Yang, Hui Li, Haichao Liu, Jiaxing Zhang, Peng Zhang^*

Department of Urology, Hebei Yanda Hospital, Langfang, Hebei, 065201, China

Introduction: To explore the clinical effect of open and air bladder laparoscopic vesicoureteral replantation in the treatment of vesicoureteral reflux.

Materials and methods: A total of 80 patients with vesicoureteral reflux admitted to our hospital from January 2017 to December 2020 were selected. According to different treatment methods, all patients were divided into a control group and a study group, with 40 cases in each group. Patients in the study group received air bladder laparoscopic vesicoureteral replantation, and patients in the control group received open vesicoureteral replantation. The surgical incision, time and intraoperative blood loss were compared between the two groups of patients to evaluate the operation; the postoperative catheter retention time, postoperative hematuria time, fasting time, antibiotic use time, postoperative hospital stay, etc. were compared between the two groups of patients to evaluate the short-term curative effect of operation. The patients were followed up for 3 to 9 months after the operation, and adverse reactions of the two groups of patients were recorded during the follow-up period.

Results: Patients in the study group underwent air bladder laparoscopic vesicoureteral transplantation, and their surgical incision was significantly smaller than that in the control group (P<0.05), and the amount of bleeding in the study group was effectively controlled (P<0.05). The operation time of the two groups of patients were compared, and the operation time in the study group was significantly longer than that in the control group (P<0.05). Twenty-four hours after operation, the serum levels of Cor and ROS in the two groups were higher than those before the operation, and the serum levels of SOD and GSH-Px were lower than those before the operation. The serum levels of Cor and ROS in the study group were lower than those in the control group, and the serum levels of SOD and GSH-Px were higher than those in the control group. The difference was statistically significant (P <.05). The postoperative ureter retention time, postoperative hematuria time, fasting time, antibiotic use time, postoperative hospital stay, etc. in the study group were significantly shorter than those in the control group; the postoperative ureter diameter of the two groups was basically the same, and the difference was not statistically significant. The incidence of postoperative complications in the study group was 7.50% (3/40), which was lower than the 25.00% (10/40) in the control group. The difference was statistically significant (X=5.316, P<0.05).

Conclusion: The clinical effect of air bladder laparoscopic vesicoureteral replantation in the treatment of vesicoureteral reflux in children is significant, which is beneficial to the postoperative recovery of children, and is worthy of clinical application.