【摘要】 目的探讨后腹腔镜输尿管切开取石术的方法和临床价值。方法采用后腹腔镜技术行输尿管切开取石术共25例,均为输尿管上段结石,结石最大为25mm,最小为12mm,25例均有不同程度的肾积水。结果所有患者均一次手术成功,无一例中转开放手术。手术时间70～180min,平均90min。术中出血30～60ml,平均40ml。术后无明显并发症,术后住院时间6～9d。术后随访6～12个月,所有患者肾积水均有不同程度减轻,无明显输尿管狭窄。结论后腹腔镜输尿管切开取石术具有微创、出血少、术后恢复快等优点,可作为输尿管上段结石治疗的一种较佳的方法。更多还原

【Abstract】 Objective To investigate the clinical significance and methods of retroperitoneal laparoscopic ureterolithotomy.Methods Retroperitoneal laparoscopic ureteroljthotomy was performed on 25 patients with upper ureteral stone,the stone size ranging from 1.2-2.5 cm in diameter.Hydronephrosis existed in all the patients.Results All 25 cases succeeded in first time.The mean operation time was 90 minutes(70-180 min),and the estimated blood loss was 30-60 ml with a mean of 40 ml.The postoperative hospital stay was 6-9 d.There was no serious complications in perioperative and postoperative period.During the 6-12 months’ follow-up,the patients’ renal function had been improved with no ureteric stricture.Conclousion Retroperitoneal laparoscopic ureterolithotomy has the advantages of minimal invasion,safe,effective and quicker recovery.It can used as a good method in treating upper ureteral calculi.更多还原