后腹腔镜微创治疗输尿管上段结石的体会  

Treatment of mini-retroperitoneal laparoscopic ureterolithotomy for the upper ureteral calculi

作　　者：张小平[1] 刘凤祝[1] 何学松[1] 孙玉成[2] 

机构地区：[1]北京市丰台区长辛店医院,北京100072 [2]北京宣武医院泌尿外科,北京100072

出　　处：《中国医药导报》2010年第31期158-159,共2页China Medical Herald

摘　　要：目的:探讨后腹腔镜微创治疗输尿管结石的临床疗效及技巧。方法:回顾性分析后腹腔镜切开取石术治疗的15例输尿管上段结石患者的临床资料,5例行体外冲击波碎石术(ESWL)无效,余初次诊治。D-J管于术前置入。结果:15例均手术成功,总并发症发生率为20%。结论:后腹腔镜输尿管切开取石术可作为ESWL治疗输尿管结石失败的补救措施,为泌尿外科医生提供了另一种避免开放性手术的途径。Objective： To assess the efficacy and techniques of retroperitoneal laparoscopic ureterolithotomy for the ureter-al calculi.Methods： 15 patients underwent retroperitoneal laparoscopic ureterolithotomy of the upper ureteral calculi.Dou-ble J stents were used in all cases.Results： All the operations were successful.The global complication rate was 20%.Conclusion： Retroperitoneal laparoscopy ureterolithotomy removal of ureteral calculi after ESWL,which may be considered as a primary procedure before open ureterolithotomy.

关 键 词：输尿管结石 后腹腔镜输尿管切开 D-J管 体外冲击波碎石 

分 类 号：R691.4[医药卫生—泌尿科学]