摘要
目的探讨后腹腔镜下肾盂、输尿管上段切开取石术的临床应用价值。方法选择我院行后腹腔镜下肾盂、输尿管上段切开取石术患者36例,其中30例曾行体外冲击波碎石术(ESWL)、4例曾行输尿管镜下气压弹道或钬激光碎石术(USL)失败后转腹腔镜手术。结果患者结石均一次取净,术后3～6d拔除腹膜后引流管,无漏尿;术后住院时间6～8d,术后4周拔除双J管;术后恢复顺利,随访3～12个月,所有随访患者肾功能得到改善,无结石复发及输尿管狭窄发生。结论后腹腔镜下肾盂、输尿管上段切开取石术效果确切,损伤少,术后恢复快,具有一次取净结石的优点,是治疗复杂性肾盂、输尿管上段结石的有效术式之一。
Objective To investigate the clinical value of retroperitoneoscopic pyelolithotomy and ureterolithotomy for ureteral calculus. Methods 36 eases were ehosen by retroperitoneoseopie pyelolithotomy and ureterolithotomy for ureteral ealeu- lus, among 30 patients with extraeorporeal shock wave lithotripsy （ ESWL）, 4 eases of pneumatic lithotripsy under ureteroseope and holmium laser lithotripsy （ USL）, which were given laparoseopie surgery after failure. Results All stones were completely removed by single procedure, the postoperative hospital stay was 3 - 6 d, there was no patient was occurred urine leak after oper- ation; The hospital stay was from 6 - 8 d, the double - J ureteral stent was removed at 4 weeks after the operation ; During the follow up period （3 - 12 months）, no ureterie stricture or recurrent ealeulus was found and the kidney function of all patients shall be improved. Conclusion Retroperitoneoseopie pyelolithotomy and ureterolithotomy has advantages of being minimal inva- sire, safe and elective, postoperatively early resumption and shorter hospital stay. The most important of these advantages is that all the stones are completely removed by single procedure.
出处
《实用心脑肺血管病杂志》
2013年第9期89-90,共2页
Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
关键词
肾盂
结石
输尿管结石
腹腔镜检查
Kidney pelvis
Calculi
Ureteral calculi
Laparoscopy
