摘要
目的 探讨后腹腔镜输尿管切开取石术与经尿道输尿管镜碎石术治疗输尿管上段结石的疗效.方法 选取于2018年6月至2019年6月收治的100例单侧输尿管上段结石患者,随机分为两组:50例采用经尿道输尿管镜碎石术治疗(输尿管镜组),50例采用后腹腔镜输尿管切开取石术治疗(腹腔镜组).结果 腹腔镜组的手术成功率(100.O%)明显高于输尿管镜组(90.0%)(<0.05),腹腔镜组术中平均出血量(12.0±3.8)ml,输尿管镜组术中无明显出血,腹腔镜组术中出血量明显高于输尿管镜组(<0.01),腹腔镜组的结石残留率明显低于输尿管镜组(<0.01).结论 后腹腔镜输尿管切开取石术成功率明显高于经尿道输尿管镜碎石术,可作为基层医院治疗输尿管上段结石常用选择方法.
Objective To evaluate the efficacy of retroperitoneal laparoscopic ureterolithotomy and transurethral ureteroscopic lithotripsy in the treatment of upper ureteral calculi.Methods One hundred patients with unilateral ureteral calculi admitted from June 2018 to June 2019 were randomly divided into two groups:50 patients underwent transurethral ureteroscopic lithotripsy(ureteroscopy group),and 50 patients underwent posterior abdominal cavity.Mirror ureterolithotomy(laparoscopic group).Results The success rate of laparoscopic surgery(100.O%)was significantly higher than that of ureteroscopy group(90.0%)(P<0.05).The average blood loss during laparoscopic surgery was(12.0±3.8)ml.There was no obvious bleeding in the ureteroscopy group.The bleeding volume in the laparoscopic group was significantly higher than that in the ureteroscopy group(P<0.01).The residual rate of calculi in the laparoscopic group was significantly lower than that in the ureteroscope group(P<0.01).Conclusion The success rate of posterior laparoscopic ureterolithotomy is significantly higher than that of transurethral ureteroscopic lithotripsy.It can be used as a common choice for the treatment of upper ureteral calculi in primary hospitals.
作者
刘运洪
LIU Yun-hong(Department of Urology,Dazhu County People's Hospital of Sichuan Province Sichuan 635100,China)
出处
《医学信息》
2018年第A02期55-56,共2页
Journal of Medical Information
关键词
输尿管结石
输尿管镜碎石
后腹腔镜切开取石
治疗结果
Ureteral calculi
Ureteroscopic lithotripsy
Retroperitoneal laparoscopic ureterolithotomy
Therapeutic effect
