后腹腔镜输尿管切开取石术临床体会与技术改进  

The clinical analysis and technique improvement of retroperitoneal laparoscopic ureterolithotomy for upper ureteral calculi

作　　者：关超[1] 谷明利[1] 郭园园[1] 方文革[1] 许海斌[1] 徐卫强[1] 谢海龙[1] 赵维多[1] 

机构地区：[1]蚌埠医学院第二附属医院泌尿外科,233040

出　　处：《安徽医学》2012年第12期1597-1598,共2页Anhui Medical Journal

摘　　要：目的探讨与总结腹膜后腹腔镜手术治疗输尿管上段结石的临床疗效及经验。方法回顾分析2009年2月至2012年4月施行腹膜后腹腔镜手术治疗56例输尿管上段结石患者的临床资料及随访情况。结果 56例手术均获成功,结石一次取净率100%。手术时间30～130 min,平均56 min。住院7～11 d,平均8.5 d,术后4例发生尿漏,持续时间3～9 d。2例术中结石上移,向上分离切开肾盂,取出结石。结论腹膜后腹腔镜手术治疗输尿管上段结石疗效确切,创伤小,术后恢复快,可作为开放手术或其他微创方法的替代和补充。Objective To investigate the clinical efficacy and summarize the experience of the retroperitoneal laparoscopic technique in the treatment of impacted upper ureteral calculi. Methods Clinical data of 56 patients with upper ureteral calculi who were treated with retroperitoneal laparoscopie technique from June 2007 to May 2010 were analyzed retrospectively. Results All patients were treated successfully. Stone clearance rate was 100%. Mean operation time was 56rain （ range 30 - 130min）. Mean hospital stay was 8.5d （ range 7 - lid）. Urinary leakage occurred after operation in 4 cases for 3 -9 days. The stones moved up to the pelvis in 2 cases, which were taken out by separating and cutting open the pelvis. Conclusion Retroperitoneal laparoscopic technique is effective, minimally invasive with rapid postoperative recovery for impacted upper ureteral calculi. It may be an alternative to open surgery and other mini -invasive methods.

关 键 词：输尿管结石 输尿管切开取石术 腹膜后径路 腹腔镜检查 

分 类 号：R699[医药卫生—泌尿科学]