摘要
目的评估两种微创手术治疗复杂输尿管上段结石的疗效。方法回顾性分析输尿管镜下钬激光碎石取石术、后腹腔镜输尿管切开取石术治疗复杂输尿管上段结石患者的资料。结果输尿管镜钬激光碎石25例,后腹腔镜取石15例。输尿管镜钬激光碎石组25例,其中一次性成功17例,其余经二期手术后成功排出,平均手术时间65min。后腹腔镜组15例均取石成功,无漏尿发生,平均手术时间75min。结论后腹腔镜取石为复杂输尿管上段结石的治疗提供了新的选择,复杂输尿管上段结石可选择腹腔镜手术治疗。
Objective To evaluate the therapeutic effects of endoscopic laser lithotripsy and retroperitoneal laparoscopic ureterolithotomy for complex proximal ureter stones （PUS）. Methods The clinical data of 40 patients with PUS treated with endoscopic laser lithotripsy group 1 （n=25） and retroperitoneal laparoscopic ureterolithotomy group 2 （ n = 15 ） were retrospectively analyzed. Results In group 1, Holmium laser lithotripsy was successfully completed on one session in 17 cases, with the success rate being 68% （17/25）, the other 8 case were succeed on the second alternative treatment. The mean operative time was 65 min; All the 15 cases in group 2 underwent retroperitoneal laparoscopic ureterolithotomy successfully. No leakage of urine was observed. The mean operative time was 75 min. Conclusion Retroperitoneal laparoscopic ureterolithotomy is a new choice to the treatment of complex proximal ureter stones.
出处
《中国现代医药杂志》
2006年第4期31-33,共3页
Modern Medicine Journal of China
关键词
钬激光
后腹腔镜技术
输尿管上端结石
Holmium laser
Retroperitoneal laparoseopy
proximal ureter stones （PUS）
