【摘要】 目的：分析机器人辅助腹腔镜肾盂输尿管成形术（RALP）治疗小儿肾盂输尿管连接部梗阻（UPJO）的疗效。方法：选取2021年1月—2023年6月贵州省人民医院收治的UPJO患儿89例作为研究对象，根据治疗方式分为对照组、观察组。对照组40例，接受普通腹腔镜肾盂输尿管成形术；观察组49例，实施RALP。对比两组手术效果。结果：观察组术后引流时间、术后住院时间短于对照组，术后尿管拔除时间、术后恢复饮食时间早于对照组（P<0.001）。两组术后并发症发生率比较，差异无统计学意义（P>0.05）。术后48 h，两组C反应蛋白、白细胞介素-6水平降低，且观察组低于对照组（P<0.001）。术后3个月，两组肾盂前后径较术前缩小，肾小球滤过率较术前提高（P<0.001）；但组间比较，无明显差异（P>0.05）。结论：RALP治疗小儿UPJO的疗效显著，手术并发症少，可减轻炎性反应，促进患儿康复。更多还原

【Abstract】 Objective: To analyze the therapeutic effect of robot-assisted laparoscopic pyeloureteroplasty(RALP) in the treatment of pediatric ureteropelvic junction obstruction(UPJO). Methods: A total of eighty-nine children with UPJO who were admitted to Guizhou Provincial People’s Hospital from January 2021 to June 2023 were selected as the research subjects. They were divided into the control group and the observation group according to the treatment methods. There were forty cases in the control group,who underwent conventional laparoscopic pyeloureteroplasty; forty-nine cases in the observation group, who underwent RALP.The surgical effects of the two groups were compared. Results: The postoperative drainage time and hospital stay in the observation group were shorter than those in the control group, while the postoperative removal time of the urinary catheter and the time for resuming diet were earlier in the observation group compared to the control group(P<0.001). There was no statistically significant difference in the incidence of postoperative complications between the two groups(P>0.05). At 48 hours after the operation, the levels of C-reactive protein and interleukin-6 decreased in both groups, and the levels in the observation group were lower than those in the control group(P<0.001). Three months after the operation, the anterior-posterior diameters of the renal pelvis in both groups were smaller than before the operation, and the glomerular filtration rate was higher than before the operation(P<0.001).However, when comparing between groups, there was no significant difference(P>0.05). Conclusion: The RALP treatment for pediatric UPJO has remarkable efficacy, with few surgical complications. It can alleviate inflammatory reactions and promote the recovery of children.更多还原