摘要
探讨后腹腔镜下肾盂、输尿管切开取石的技术要点和临床应用价值。回顾性分析34例后腹腔镜肾盂、输尿管切开取石术的临床质料。男22例,女12例,肾盂结石10例,输尿管结石24例。结果34例成功完成腹腔镜取石术,手术时间40 min^90 min,平均58 min,术中出血10 ml^30 ml,术后1例漏尿3d,术后3d^5d拔除后腹腔引流管,术后住院7d^9d,34例随访12个月~26个月,患者肾输尿管积水均明显好转,无结石复发及输尿管狭窄。后腹腔肾盂输尿管切开取石术可部分取代肾盂结石的开放手术,可作为输尿管上段结石ESWL或(和)URL治疗失败的首选治疗方案。
To investigate technical main points and clinical effects of retroperitoneoscopic pyelolithotomy and ureterolithotomy. The clinical 34 cases（22 males and 12 females） of retroperitoneal laparoscopy were retrospectively analyzed. Of the 34 cases, 10 had renal calculi and 24 ureteral calculi. The 34 cases underwent retroperitoneoscopic lithotomy successfully. The operative time ranged from 40 to 90rain（ mean, 58） ;the intraoperative blood loss ranged from 10 to 30ml. postoperatively, 1 case experienced 3 days＇leakage of urine. The retroperitoneal drainage tubes were removed 3 to 5 days after operation. The postoperative hospital stay was 7 to 9 days. During the follow up period（12-26months） ,no ureteric stricture or recurrent calculus was found. The hydronepbrosis and hydroureterosis were lessened. As salvage procedure for failed ESWL and URL, retroperitoneoscopic pyelolithotomy can partially replace conventional open surgery, and retroperitoneoscopic ureterrolithotomy maybe considered as the first choice of treatment.
出处
《医学与哲学（B）》
2011年第2期43-44,共2页
Medicine & Philosophy(B)
关键词
后腹腔镜
肾盂结石
输尿管结石
治疗学
retroperitoneal laparoscopy, pyelolithiasis, ureteric calculus, therapeutics
