摘要
目的：探讨后腹腔镜输尿管切开取石术的临床应用。方法：用后腹腔镜行输尿管切开取石64例。结果：64例患者中,60例（93.8%）手术成功取石,4例因放置双J管中致输尿管撕裂另行开放修补术,共取石84枚。手术时间70~150min,平均110.6士21.7min。出血量10~60ml,平均30.5士5.6ml,术后住院时间3~9d,平均6.4土1.2d,随访3~9个月,肾功能均有改善,未出现输尿管狭窄。结论：后腹腔镜输尿管切开取石术作为替代开放手术治疗输尿管中、上段结石,安全、有效、创伤较小,值得临床推广应用。
Objective To explore the clinical application of ureterolithotomy after laparoscopic surgery.Methods laparoscopic ureterolithotomy was conducted in 64 cases.Results Of 64 patients,60 cases（93.8%） were successful,four cases had a separate open repair due to ureteral tear caused by placement of double-J tube,a total of 84 stones taken.The operative time was 70 to 150min,with an average of 110.6±21.7min.The amount of bleeding was 10 to 60ml,with an average of 30.5 ± 5.6ml.Postoperative hospital stay was 3 to 9d,with an average of 6.4±1.2d,together with a follow-up of 3 to 9 months.Renal function improved in all and ureteral stricture did not appear.Conclusion Retroperitoneal laparoscopic ureteral incision as an alternative to open surgery for mid-and upper stones of ureter,is safe,effective with less trauma,which is worthy to be popularized.
出处
《中国农村卫生事业管理》
2011年第11期1207-1208,共2页
Chinese Rural Health Service Administration
关键词
输尿管结石
后腹腔镜
切开取石术
ureteral calculi
rear laparoscopic
incision
treatment
