后腹腔镜下输尿管切开取石术  

Retroperitoneal Laparoscopic Ureterolithotomy

作　　者：沈伟华[1] 徐庆康[1] 于永涛[1] 李伟飞[1] 陈峰[1] 

机构地区：[1]武警浙江省总队医院泌尿外科,嘉兴314000

出　　处：《医学研究杂志》2008年第10期107-108,共2页Journal of Medical Research

摘　　要：目的探讨后腹腔镜下输尿管切开取石术的手术方法及技术改进。方法分析2005年7月～2008年3月后腹腔镜下输尿管切开取石术85例，直径0．8～2．5cm，左侧40例，右侧45例。其中25例术前行体外冲激波碎石术（ESWL）治疗，结石未见明显碎裂。结果84例手术成功，1例因置双J管欠顺利行小切口下置管。手术时间48～220min，平均75min，术中出血20～100ml，放置引流管时间5～12天，平均7天，置入双J管术后1月拔除。术后尿漏1例，经引流后自愈，后腹腔感染1例，经重新置管引流及加强抗炎治疗后治愈。65例获随访，肾积水均有不同程度改善，无明显输尿管狭窄。结论后腹腔镜下输尿管切开取石术手术安全，可部分替代开放取石术。Objective To investigate standardization of technique of retroperitoned laparoscopic ureterolithotomy. Methods Retroperitoneal laparoscopic ureterolithotomy was performed on 85 cases of ureterolithiasis（ the stone size ranging from 0. 8 - 2.5cm ,40 cases in the left,45 cases in the right;and 25 had undergone unsuccessful ESWL）. Results 84 cases succeeded,1 case opened beease of play D -J tube difficultly,the mean operation time was 75 minutes（48 -220min） , and the estimated blood loss 20-100ml, the drain tube was removed 5 - 12 days（mean 7 days） , 1 case experienced urinary leakage, 1 case infective in the retroperitoneal. Conclusion Retroperitoneal laparoscopic ureterolithotomy was a safe operation,it can take the place of open surgery.

关 键 词：腹腔镜 输尿管结石 临床分析 治疗方法 

分 类 号：R657.4[医药卫生—外科学] R693.4[医药卫生—临床医学]