摘要
目的：探讨后腹膜路径下腹腔镜输尿管切开取石治疗输尿管上段结石的临床价值。方法：回顾性分析2008年1月~2014年1月采用后腹腔镜下输尿管切开取石术治疗116例输尿管上段结石患者的临床资料。结果：115例顺利完成手术,1例患者中转开放,均成功取石；手术时间50~105 mi n ,平均(76??3±28??5)mi n ,术中出血量25~90 ml ,平均(35??4±16??8) ml ,术后引流管留置时间5~8 d ,平均(5??7±1??1)d ,术后住院时间6~9 d ,平均(6??5±1??3)d ；术后随访1~70个月,平均(46??3±18??6)个月。患者患侧肾积水均有不同程度改善,无一例发生重大并发症。结论：后腹膜路径下腹腔镜输尿管切开取石术治疗输尿管上段结石疗效显著,具有创伤小、术后恢复快、并发症少及安全可靠等优点,值得基层医院推广。
Objective:To evaluate the clinical value of retroperitoneal laparoscopic ureterolithotomy in the treatment of upper ureteral calculus.Methods:The clinical data of 116 cases of upper ureteral calculus treated with retroperitoneal laparoscopic ureterolithotomy in our hospital from January 2008 to January 2014 were analysed retrospectively.Results:Retroperitoneal laparoscopic ureterolithotomy was performed successfully on 115 patients,and only one patient was conversed to the open operation.The average operation time was(76.3±28.5)min,the mean blood loss during operation was(35.4±16.8)mL,the drainage tube placement time was(5.7±1.1)days,and the postoperative hospital stay was(6.5±1.3)days.The follow-up time after operation was 1-70 months.The hydronephrosis in all patients was alleviated to varying degrees and no serious complications occurred.Conclusions:The clinical value of retroperitoneal laparoscopic ureterolithotomy in the treatment of upper ureteral calculus is significant,with advantages of small wound,rapid recovery,less complications,higher safety and reliability.It is recommended to practise in primary level hospitals.
出处
《微创泌尿外科杂志》
2014年第3期146-148,共3页
Journal of Minimally Invasive Urology
