摘要
目的总结腹腔镜下经腹输尿管切开取石加肾折叠术治疗输尿管结石并重度肾积水的经验。方法用腹腔镜经腹输尿管切开取石加肾折叠术治疗输尿管结石并重度肾积水18例，患者平均33岁，结石直径5～28mm，2例伴肾下盏多发结石，结石3—8个。根据X线定位，切开后腹膜，暴露输尿管，用自制刀切开输尿管取出结石。于肾下极菲薄处切开，取出肾下极结石。置入双J管，缝合切口。随之行肾折叠术。结果18例手术均获成功。随访3—8个月无并发症发生。结论应用腹腔镜经腹输尿管切开取石加肾折叠术治疗输尿管结石并重度肾积水疗效好，患者痛苦小，值得推广。
Objective To Summarize the experience of the new technique of endo-laparoscopic ureterotomy and renal plication in the treatment of ureteral stone with giant hydronephrosis. Methods 18 cases with ureteral stone and giant hydronephrosis were treated by endo-laparoscopic ureterotomy. The average age of the patients was 33 years, and the size of the calculi was 5 - 28 mm. 2 cases accompanied many stones in the lower part and the number was 3-8. Cut the rear membrane of abdominal cavity according to the stone position on X ray,exposed the ureter,then cut the ureter by self-made knife, and took the stone away. Cut the kidney at the thinnest part, took the stone away, put the double J tube in the ureter, and sutured the wound. Renal plication was performed soon after. Results All the operations were sussessful and no complication occurred during a follow-up period of 3-8 months. Conclusions Endo-laparoscopic ureterotomy and renal plication in the treatment of ureteral stone with giant hydronephrosis is safe, effective and minimal invasive.
出处
《中国实用医药》
2008年第31期37-39,共3页
China Practical Medicine
关键词
输尿管结石
肾盂积水
腹腔镜术
肾折叠手术
Ureteral ealeuli
Hydronephrosis
Laparoscopy
Renal plieation surgery
