摘要
目的：探讨后腹腔镜输尿管切开取石术的适应症及临床价值。方法：对36例经后腹腔镜行输尿管上段切开取石术的临床资料进行回顾性分析。结果：全部患者均手术成功，平均手术时间87．5min，失血量30-80mL，术后随访2月。4年，肾积水均明显好转，无明显手术并发症。结论：后腹腔镜输尿管切开取石术具有创伤小、恢复快、并发症少等优点，尤其适用于上段输尿管结石，因输尿管镜下碎石（URL）时结石易上行进入肾盂而致治疗失败或体外冲击波碎石术（ESWL）效果不佳者，可部分取代传统的开放性手术。
Objective To evaluate the selection of indications and clinical effects of retroperitoneal laparoscopic ureterolithotomy Methods The clinical data of 36 patients underwent retroperitoneal laparoscopic ureterolithotomy for the treatment of upper ureteral calculi were analyzed retrospectively. Results All 36 cases were treated successfully with a meantime of 87.5 min and a lost of 30 to 80 ml blood. All cases were followed for 2 to 48 months showing improvement of hydronephrosis and no remarkable complications. Conclusion The retroperitoneal laparoscopie ureterolithotomy for the treatment of upper ureteral calculi is a safe, effective and minimally invasive procedure. As a salvage procedure for failed ureteroscopie lithotripsy and extracorporal shock wave lithotripsy, it can partially replace conventional open surgery.
出处
《中国中西医结合外科杂志》
CAS
2007年第2期113-115,共3页
Chinese Journal of Surgery of Integrated Traditional and Western Medicine
