摘要
目的探讨后腹腔镜肾盂输尿管切开取石术的技术要点及临床价值。方法采用后腹腔镜完成45例肾盂输尿管切开取石术,病程10个月～6a,结石直径1.1～3.2cm;12例经ESWL无效,2例经输尿管镜取石失败;输尿管上段结石37例,肾盂结石8例。结果结石均一次取净,手术55～130min,平均75min,无明显并发症发生。术后恢复顺利,随访3～12个月,患者肾输尿管积水均明显好转,无结石复发和切开缝合处狭窄。结论后腹腔镜肾盂输尿管切开取石术具有损伤小、安全有效、可行和恢复快等优点,有良好的临床应用价值。
[Objective] To evaluate the surgical technique and clinical application of retroperitoneal laparoscopic pyelolithotomy and ureterolithotomy. [Meahods] 45 cases of pelvis or ureteral stone have been treated by retroperitoneal laparoscopy suegery. The size of the calculi was 1.1-3.2 cm; the course was from 10 months to 6 years. ESWL has been failed in 12 of them, ureteroscopy been failed in 2 of them. Of the 45 cases, 37 had upper ureteral stones and 8 had pelvis stones. [Results] All the stones were completely removed by single procedure. The operation time was 55-130 min with a mean of 75 min. No obvious complication has been observed. During the follow up period （3-12 months）, no ureteric stricture or recurrent calculus was found. B-ultrasound and IVP examinations showed that hydronephrosis and hydroureterosis were lessened. [Conclusions] Retroperitoneal laparoscopic pyelolithotomy or ureterolithotomy has advantages of being minimal invasive, safe and effective, postoperatively early resumption and shorter hospital stay. It has a good applied value in the urologic clinical practice.
出处
《中国内镜杂志》
CSCD
北大核心
2006年第7期747-749,共3页
China Journal of Endoscopy
关键词
腹腔镜手术
肾盂结石
输尿管结石
laparoscopic surgery
pelvis calcul
ureteral calculi
