【摘要】 目的为降低输尿管上段结石患者的痛苦和进一步提高临床治疗效果,对比和分析经后腹腔镜治疗输尿管上段结石的应用价值和意义。方法选择2012年1月~2014年1月来我院泌尿外科手术治疗的输尿管上段结合患者,随机分为观察组和对照组各43例,对照组采取通过输尿管镜进行激光碎石取石术治疗,观察组采取后腹腔镜输尿管上段取石术治疗,对比和分析两种不同的手术方式对患者在术中情况、术后并发症等方面的不同。结果经过统计发现,观察组患者的术中情况(手术耗时、术中输血量、胃肠道功能恢复、麻醉时间、引流管去除时间)、住院时间显著低于对照度,且两组患者比较差异具有统计学意义(P<0.05);观察组患者术后并发症的出现情况显著低于对照组患者;两组患者比较差异具有统计学意义(P<0.05)。结论对于输尿管上段结石患者采取后腹腔镜输尿管切开取石术治疗,临床效果显著,风险率低,患者痛苦小,值得应用。更多还原

【Abstract】 Objective To reduce the pain of patients with upper ureteral calculi and further improve the clinical efficacy, the values and significances of retroperitoneoscopy in the treatment of upper ureteral calculi were compared and analyzed. Methods Patients with upper ureteral calculi in the urinary surgery of our hospital from Jan 2012 to Jan 2014 were divided into observation group and control group, 43 cases in each group. The control group was treated by laser lithotrip-sy through retroperitoneoscopy, the observation group was treated by retroperitoneoscopy in the treatment of upper ureteral calculi, effects of different surgery on the operation and postoperative complications were compared and analyzed. Results After statistical found that the operation condition(operation time, bleeding volume, gastroenteric function recovery, anesthesia time, removing time of drainage tube),hospital time of observation group were significantly lower than control group, differences between two groups were statistically significant(P<0.05); And the postoperative complications of observation group were significantly less than control group, difference has statistical significance(P<0.05). Conclusion For patients with upper ureteral calculi, it has significant efficacy that applying endoscopic sphincterotomy through retroperitoneoscopy, the risk is lower,less pain in patients, is worthy of being applied.更多还原