摘要
目的回顾性总结分析输尿管结石腔镜手术经验。方法2004年9月～2007年11月为100例患者施行榆尿管结石腔镜手术，其中男43例，女57例，18—82岁，平均42．3岁；其中输尿管镜碎石术83例，经皮肾榆尿管镜取石（PCNL）9例，后腹腔镜取石术14例。结果104例完成手术，其中1例因输尿管断裂于手术次日行开放手术；无腹腔内脏器损伤、死亡等并发症发生；中转开放手术2例。PCNL和后腹腔镜组的术中出血量、和手术时间多于输尿管镜组，患者住院时间也较长。结论输尿管镜仍是解决输尿管结石的主要手段，PCNL和后腹腔镜取石术适用于治疗复杂输尿管结石。
Objective To retrospectively summarize the experience of endoscope-assistant surgery for ureteral calculi. Method A total of 100 patients was treated with endoscopeassistant surgery for ureteral calculi during september 2004 and November 2007, 43 cases were male and 57 female, the patients ranged in age from 18 to 82 years （mean age 42.3 years）. 83 cases were cured with ureterscopic lithotripsy, 9 cases with percutaneous nephrolithotomy, 14 cases with Retroperiton-eoscopic ureterolithotomy. Result The operation was completed successfully in 104 cases （98.1%）. i case was performed with open surgery in the second day due to ureteral fagmentation. No intraabdominal organ injures, died cases or other complication, with 2 cases conversed to open surgery. The intraoperative blood loss and the operation time in PCNL group and Retroperiton-eoscopic ureterolithotomy group was more than the group percutaneous nephrolithotomy and longer time stayed in hospital. Conclusions Ureteroscope is also the main means to cure ureteral calculi. At the same time, PCNL and Retroperitoneoscopic ureterolithotomy are good methods in treating complicated urteralstone.
出处
《国际医药卫生导报》
2008年第24期24-26,共3页
International Medicine and Health Guidance News
关键词
输尿管结石
腔镜手术
外科治疗
Ureteral calculi Endoscope-assistant surgery Surgical Treatment
