【摘要】 目的探讨分析后腹腔镜输尿管切开取石治疗输尿管上段嵌顿性结石的方法及临床价值。方法回顾性分析2008年4月-2011年10月采用后腹腔镜输尿管上段切开取石术29例患者的临床资料。结果 27例手术成功,2例中转开放手术。手术时间55～180 min,平均80 min,术中失血20～60ml,平均40 ml,术后平均住院时间7.8 d,均无术后大出血、漏尿、结石残留。随访2～18个月,B超或IVU显示肾、输尿管积水明显好转或消失,输尿管无结石残留,无输尿管狭窄并发症。结论后腹腔镜输尿管切开取石术具有创伤小、康复快、住院时间短等优点,是一种安全、有效的治疗输尿管上段结石的方法。可作为开放手术或其他微创方法的替代和补充。更多还原

【Abstract】 Objective To evaluate the surgical techniques and clinical value of retroperitoneoscopic ureterolithotomy in treating upper ureteral calculus.Methods A retrospective study was accomplished on retroperitoneoscopic ureterolithotomy treatment of 29 patients with ureteral calculi hospitalized from 2008 to 2011 in our department.Results Of all the cases,27 patients underwent retroperitoneoscopic ureterolithotomy successfully,only 2 case converted to operation.Operation time was 55-180 min,with the average of 80 min,blood loss was 20-60 ml,with the average of 40 ml,the mean postoperative hospital stay 7.8 days,there was no postoperative bleeding,leakage of urine,residual stones and other complications.27 cases gained the follow up period of 2-18 months whose hydronephrosis and renal function improved by the examination of B-ultra-sound or IVU.No ureteral stricture or recurrent calculi was found.Conclusion Retroperitoneoscopic ureterolithotomy was a safe,effective treatment of upper ureteral calculus method with less trauma,quicker recovery,shorter hospitalization time etc.It may be an alternative to open surgery and other mini-invasive methods.更多还原