摘要
目的探讨腹腔镜在肾盏憩室结石中的治疗效果。方法回顾性分析我院2004年2月-2008年2月采用后腹腔镜手术治疗4例肾盏憩室结石患者的临床资料。结石位于右侧1例，左侧3例，其中位于肾上极1例，肾中极1例，肾下极2例。2例曾行体外冲击波碎石术治疗失败，1例曾行微创经皮肾镜取石术后取石不净。结果手术均获成功。手术时间90-240min，平均142min。术中出血量50—120ml，平均70ml。术后住院时间7～10天，平均8天，留置双“J”管4～6周。随访3～24个月，KUB及IVU显示结石无残留，肾盏憩室无复发。结论后腹腔镜手术治疗肾盏憩室结石是一种微创手术，且可同时处理憩室，值得临床推广。
Objective To evaluate the therapeutic efficacy of retroperitoneal laparoscopic operation of stones diverticulum calculi.Methods The clinical data of 4 patients（3 men and 1 woman） who received retroperitoneal laparoscopic operation of stones diverticulum calculi from February 2004 to February 2008 were reviewed retrospectively.The patient age ranged from 23 to 64 years （mean, 43.5 years）.The stones diverticular calculi were found on the right side in 1 case, left side in 3.Among them there were 1 cases at the upper pole of the kidney,1 at the middle and 2 in the lower pole.2 cases had experienced unsuccessful extracorporeal chock wave lithotripsy,and 1 failed with minimally invasive percutaneous nephrolithotomy, tleaulta The procedure was successful in all the 4 cases.The operative time ranged from 90 to 240 min （mean,115 min）. The intraoperative blood loss ranged from 50 to 120ml （mean, 70ml）. The hospital stay was 7 - 10 days （mean, 8 days）. Double J tube drainage was 4 - 6 weeks. During the .follow-up （3 - 24 months）,KUB and IVU showed no residual stones and stones diverticulum.Conclu- sions Retruperitoneal laparoscopic treatment is minimally invasive approach for stones diverticulum stones and represents management of the stones diverticulum simultaneously and is worth generalizing in clinic.
出处
《国际医药卫生导报》
2009年第17期46-48,共3页
International Medicine and Health Guidance News
关键词
腹腔镜
肾盏憩室
结石
外科手术
Laparoscopes
Stones diverticulum
Stones
Surgical therapy
