摘要
目的：探讨后腹腔镜输尿管切开取石术的技术要点和临床价值。方法：采用后腹腔镜技术行输尿管切开取石术18例，结石直径0．8—1．6cm，病程2个月-1年，均为单发结石，其中9例曾行体外冲击波碎石或输尿管镜技术治疗失败。结果：手术全部成功，无改开放手术者。手术时间60—120min，平均75min，术中出血10—50ml，术后住院时间5—8d，平均6d。15例随访6—12个月，肾功能均有不同程度改善，无输尿管狭窄。结论：后腹腔镜输尿管切开取石术具有微创、安全有效、术后恢复快等优点，可部分替代传统开放手术，值得临床推广。
Objective To evaluate the clinical role of retroperitoneoscopic ureterolithotomy in the treatment of upper segment ureter stones. Method Retroperitoneoscopic ureterolithotomy was used to treat 18 patients, the diameter of stones ranged from 0.8 cm to 1.6 cm,the courses of disease were from 2 months to 1 years. The stones of all the patients were single,and 9 had undergone unsuccessful ESWL or ureteroscopy. Results All 18 cases succeeded uneventfully. The mean operation time was 75 min （60 - 120 min）, and the estimated blood loss 10 -50 ml. The postoperative hospital stay was 5 - 8 d with a mean of 6 d. There were no serious complications in the preoperative and postoperative period. During the 6 - 12 months follow-up of 15 cases, the patients＇ renal function had been improved with no stricture of the ureter. Conclusion As a minimally invasive technique,retroperitoneoscopic ureterolithotomy is proved to be a safe and effective to the treatment of ureter stone. It can take the place of conventional open surgery in part.
出处
《东南大学学报（医学版）》
CAS
2007年第5期376-377,共2页
Journal of Southeast University(Medical Science Edition)
