摘要
目的探讨腹膜后腹腔镜输尿管切开取石术（RPLU）治疗输尿管结石的临床疗效及手术技巧。方法回顾性分析2008年1月~2011年6月间我院36例中上段输尿管结石患者施行RPLU的临床资料。结果 36例手术均获成功,手术时间55~130min,平均（88±9）min。术中出血量20~50mL,平均（35±6）mL。术后发生尿漏2例,无严重并发症发生。术后5~8d出院。36例随访6~32个月,肾盂积水均明显减轻,无输尿管切开处狭窄,无残余结石。结论 RPLU具有创伤小、恢复快、净石率高等优点,可作为体外冲击波碎石术、输尿管镜或经皮肾镜治疗输尿管结石失败的补救措施及长径较大、有炎性息肉包裹的输尿管中上段结石的首选方法。
[ Objective ] To evaluate the clinical efficacy and surgical techniques of retroperitoneal laparoscopic ureterolithotomy（RPLU ） for ureteral calculi. [ Methods ] The clinical data of 36 eases with middle or upper ureteral calculi, who underwent RPLU in our hospital from January 2008 to June 2011 were retrospectively analyzed. [ Results ] All the operations were successfully. The operating time was 55-130rain （mean 88 ± 9min）. The intraoperative blood loss was2050mL（mean 35 ± 6mL）. Urinary leakage postoperative occurred in two patient, hut had no severe complicationsoceurred. The postoperative hospital stay was 5 to 8 days. During the follow-up （6-32 months）,hydronephrosisobviously improved, and no ureteric stricture or recurrent calculus were found in 36 cases. [ Conclusion ] The RPLU has advantages of minimal invasion, quick recovery and high stone clearance, it can be used as asalvage procedure for failed extracorporeal shock-wave lithotripsy, ureteroscopy and minimally invasive pereutaneousnephrolithotomy, and as the first choice in the treatment of bigger middle or upper ureteral calculi and calculus encapsulated by inflammation.
出处
《中国医学工程》
2012年第5期3-4,共2页
China Medical Engineering
基金
广东省东莞市医疗卫生单位科技项目(201110515000384)
