摘要
目的比较经腹腔(LU)和经后腹膜间隙(RLU)两种路径的腹腔镜切开取石术治疗嵌顿性输尿管结石的效果和安全性方法回顾性分析本院2015年1月至2019年6月行腹腔镜切开取石术治疗的76例患者的临床资料,根据不同手术路径方式分为LU组(35例)和KLU组(41例),比较两组的手术时间、术中出血量、住院时间、排气时间、一次性结石清除率、术后并发症情况。结果LU组的手术时间短于RLU组,差异有统计学意义(P<0.05)。两组术中出血量、住院时间、排气时间、一次性结石清除率、术后并发症情况比较,差异均无统计学意义(t=2.845,-0.796,-0.490,-0.456,P>0.05)。结论LU和RLU两种路径的腹腔镜切开取石术均可获得较好的治疗效果,二者均是合理的手术方式,但LU手术时间更短。
Objective To compare the efficacy and safety of laparaoscopic ureterolithotomy(LU)and retroperitoneal laparaoscopic ureterolithotomy(RLU)for upper ureteral calculus.Methods A retrospective analysis of clinical data of 76 patients who underwent LU in our hospital from January 2015 to June 2019 was performed.All patients were divided into two groups according to the path mode,35 cases of LU path were in LU group,and 41 cases of the RLU path were in the RLU group.The operation time,intraoperative blood loss,hospital stay,exhaust time,one-time stone removal rate,post complications were compared.Results The operation time of LU group was shorter than that of RLU group(F<0.05),there was no significant difference in intraoperative blood loss,hospital stay,exhaust time,one-time stone removal rate and complications between the two groups(P>0.05).Conclusions Both LU and RLU in laparoscopic ureterolithotomy are reasonable surgical methods and can achieve good results,but LU has shorter operation time.
作者
陈海飞
李锋
张峰
高修建
程田坡
余阳
李海见
穰路弟
Chen Haifei;Li Feng;Zhang Feng;Gao Xiujian;Cheng Tianpo;Yu Yang;Li Haijian;Rang Ludi(Department of Urology,the Fifth People's Hospital of Fuyang City,236000,China)
出处
《国际泌尿系统杂志》
2021年第5期823-826,共4页
International Journal of Urology and Nephrology
