后腹腔镜下肾盂输尿管上段切开取石术20例临床疗效分析  

The clinical effect study of 20 cases retroperitoneoscopic pyelolithotomy and ureterolithotomy

作　　者：巩全华[1] 王东文[1] 

机构地区：[1]山西医科大学,030001

出　　处：《中国实用医药》2010年第11期64-65,共2页China Practical Medicine

摘　　要：目的探讨后腹腔镜下肾盂输尿管上段切开取石术的临床疗效。方法2006年1月至2009年3月对20例肾盂输尿管上段结石患者,在腹腔镜下经腹膜后行肾盂输尿管切开取石术,其中13例手术前行ESWL治疗无效,7例为初次手术治疗。结石直径12-40 mm。结果1例因结石退至肾盂后改为开放手术,其余19例成功。手术时间70-280 min,平均90 min。术后全部获得随访,随访5-38个月,平均24个月,无并发症发生。结论后腹腔镜下肾盂输尿管上段切开取石术,具有安全、创伤小、术后恢复快等优点,可部分代替传统开放手术,对于较大的肾盂输尿管上段结石可作为首选的治疗方法。Objective To discuss the clinical effect study of 20 cases retroperitoneoscopic pyelolithotomy and ureterolithotomy.Methods Retroperitoneoscopic pyelolithotomy and ureterolithotomy were carried out 20 cases from Jan.2006 to Mar.2009,13 of whom were treated using this method as a salvage procedure after unsuccessful ESWL,7 of whom as a primary procedure.The stone size ranged from 12-40 mm.5 cases were pyelolithiasis,the other were upper ureterolith.Results Of all the cases,19 patients underwent retroperitoneoscopic operation successfully,only 1 case converted to operation.The operation time ranged from70 to 280 minutes（mean 90 minutes）.During the follow-up period with5-38 months（mean 24 months）of all the cases,there was no complication.Conclusion Retroperitoneoscopic pyelolithotomy and ureterolithotomy is a safe and effective minimally invasive procedure and recovers quickly after the operation.It can take the place of conventional open surgery in part,and in selected patients with large chronically impacted upper ureterolith,it may be prior to the treatment of upper ureterolith.

关 键 词：腹腔镜 肾盂输尿管上段结石 临床疗效 

分 类 号：R699[医药卫生—泌尿科学]