摘要
目的探讨后腹腔镜输尿管切开取石术的技术要点及临床价值。方法应用后腹腔镜行输尿管切开取石16例。结果16例患者15例成功取石,手术成功率93．75%,1例患者因放置双J管过程中输尿管撕裂中转开放行修补手术,共取石21枚。手术时间为70．00～150．00min,平均(110．55±21．50)min。出血量10．00～60．00 ml,平均(30．45±5．55)ml,术后住院时间3～9 d,平均(6．37±1．22)d,随访3～9个月,肾功能均有不同程度改善,无输尿管狭窄发生。结论后腹腔镜输尿管切开取石术是治疗输尿管中、上段结石,替代开放手术的安全有效的微创治疗方法。
Objective To explore the technical detail of retroperitoneoscopic ureterolithotomy and evaluate its clinical effect. Methods The clinical data of 16 patients undergone retroperitoneoscopic ureterolithotomy were analyzed retrospectively. Results All the operations succeed, except 1 case（change to opening surgery due to rupture of ureter during operation） .The mean operative time was （110.55 ± 21.50）min （range from 70.00 to 150.00） .The mean estimated blood lose was 30.50 ± 6.45ml（range from 10.00 to 60.00）.The mean postoperative stay was （6.37 ± 1.22） days（range from 3 to 9） .During the 3 - 9 months follow up, the patients＇ renal function had been improved without any ureteric stricture. Conclusion Retroperitoneoscopic ureterolithotomy is safe, effective and minimal invasive in treating proximal or middle ureteral calculi. It can take place of conventional open surgery.
出处
《全科医学临床与教育》
2006年第4期305-306,共2页
Clinical Education of General Practice
关键词
输尿管结石
腹腔镜
ureteral calculi
laparoscopy
