后腹腔镜输尿管切开取石术  

Retroperitoneoscopic ureterolithotomy:experience of 58 cases

作　　者：郑涛[1] 石洪波[1] 张雪军[1] 周吉[1] 门晓炜[1] 孙晓松[1] 陈斌[1] 周飞[1] 王锐[1] 赵豫刚[1] 余志运[1] 

机构地区：[1]湖北省襄樊市中心医院泌尿外科,441021

出　　处：《中华腔镜泌尿外科杂志（电子版）》2009年第4期40-42,共3页Chinese Journal of Endourology(Electronic Edition)

摘　　要：目的评价后腹腔镜输尿管切开取石术的安全性和有效性。方法从2006年9月至2007年12月,采用后腹腔镜输尿管切开取石术治疗58例输尿管上段和中段结石患者,其中39例曾行ESWL治疗失败。结果所有病例均成功取出结石,手术时间中位数120(50～220)min、术中失血量中位数45.5(20～80)ml、平均术后肠道恢复时间(35.0±5.8)h、平均术后住院时间(7.0±0.7)d,无严重术后并发症发生。术后随访时间中位数为9(3～18)个月,无输尿管狭窄发生。结论后腹腔镜输尿管切开取石术对输尿管上段和中段结石是一个安全且有效的治疗选择。Objective To assess the safety and efficacy of retroperitoneoscopic ureterolithotomy. Methods From September 2006 to December 2007, 58 patients with calculus in the upper and middle ureter were treated with retroperitoneoscopic ureterolithotomy. 39 patients were treated unsuccessfully with extracorporeal shock-wave lithotripsy before. Results All the operations were successful with complete stone clearance. The median operative time, median intraoperative blood loss, mean postoperative intestinal function recovery time and mean postoperative hospital stay was 120 rain （range 50 ± 220 min）, 45.5ml （range 20 to 80 ml）, 35.0±5.8 hours and 7.0±0.7 days, respectively. No major postoperative complication occurred. Median follow-up was 9 months （range 3 to 18 months）. All the hydronephrosis were alleviated and no ureteral stenosis occurred. Conclusions As a safe and reliable method, retroperitoneoscopic ureterolithotomy can be a good treatment option for calculus diseases in upper- and midureter.

关 键 词：后腹腔镜 输尿管切开取石术 输尿管结石 

分 类 号：R699[医药卫生—泌尿科学]