后腹腔镜联合输尿管软镜治疗输尿管上段结石和肾结石的探讨  

Treatment of Renal Calculi and Upper Ureter Calculi with Retroperitoneal Laparoscopy and Flexible Ureteroscope

作　　者：朱伟[1] 曾甫清[2] 朱庆国[1] 叶烈夫[1] 张延榕[1] 高祥勋[1] 何延瑜[1] 陈梓甫[1] 

机构地区：[1]福建省立医院泌尿外科,福州350001 [2]华中科技大学同济医学院附属协和医院泌尿外科

出　　处：《临床泌尿外科杂志》2009年第12期919-920,共2页Journal of Clinical Urology

摘　　要：目的:探讨后腹腔镜联合输尿管软镜治疗输尿管上段结石和肾结石的临床意义。方法:采用后腹腔镜联合输尿管软镜切开取石术治疗输尿管上段结石和肾结石患者36例,结石直径0.8～3.2 cm,其中19例术前经ESWL治疗失败。结果:一次性清石成功率80.8%(29/36);手术时间70～200min,平均94 min;术后住院5～10天,无严重并发症发生。结论:后腹腔镜联合输尿管软镜治疗输尿管上段结石和肾结石安全、有效,有临床应用价值。Objective：To evaluate the clinical effect of retroperitoneal laparoscopy and flexible ureteroscope on the treatment of renal calculi and upper ureter calculi. Methods： 36 cases of renal calculi and upper ureter calculi were treated with retroperitoneal laparoscopy and flexible ureteroscope. The calculi were 0.8- 3.2 cm in diameters. 19 cases had been previously treated by unsuccessful extracorporeal shock wave lithotripsy（ESWL）. Results： the successful rate of stone fragmentation after single session were 80.8% （29/36）. The mean operation time was 70--200 min, （mean 94 rain）,and the postoperative hospitalization was from 5 to 10 days, no major complication was observed. Conclusions：The combination of retroperitoneal laparoscopy and flexible ureteroscope is a safe, effective treatment for renal caculi and upper ureter calculi.

关 键 词：肾结石 输尿管结石 腹腔镜术 输尿管软镜 

分 类 号：R691.4[医药卫生—泌尿科学]