单孔法与三孔法行后腹腔镜输尿管上段切开取石术的对比研究  

Comparison of surgical outcome between two kinds of retroperitoneal laparoscopic ureterolithotomy

作　　者：梁志强 吴杰英[2] 莫逊 伍世杰 洪家文 温星桥[2] 司徒杰[2] 

机构地区：[1]广东省阳江市阳东县人民医院泌尿外科,529900 [2]中山大学附属第三医院泌尿外科,广州510630

出　　处：《中华腔镜泌尿外科杂志（电子版）》2013年第4期27-30,共4页Chinese Journal of Endourology(Electronic Edition)

摘　　要：目的比较单孔法及三孔法后腹腔镜输尿管上段切开取石的安全性、可行性及应用价值。方法回顾性分析应用单孔法及三孔法行后腹腔镜输尿管上段切开取石患者的临床资料,比较两组的穿刺孔漏气率、手术时间、术中出血量、腹膜穿破率、术中增操作孔率、取石率及术后并发症情况。结果两组方法穿刺孔漏气率、取石率、术后并发症及术后住院时间均无统计差异(P>0.05)。术中出血量、手术时间、腹膜穿破率及术中增操作孔率三孔组较优(P<0.05)。结论单孔法较三孔法后腹腔镜输尿管上段切开取石,具有微创及美容等优势,须在不断丰富的临床实践经验的基础上,逐渐明晰该技术的潜力及应用范围,以达减少手术创伤和美容效果的医、患追求。Objective To compare the safety, feasibility and application value of the single hole method and the three holes method in retroperitoneal laparoscopie ureterolithotomy. Methods Retrospective of the clinical data of single hole method group and three holes method group were analyzed retrospectively. Retroperitoneal laparoscopie ureterolithotomy was performed, comparing the trocar leakage rate, operation time, intraoperative bleeding, peritoneal wear out rate, additional operation hole rate, stone clearance and complications. Results In two groups, the trocar leakage rate, stone clearance, postoperative complications and postoperative hospital stay were not statistically different （P 〉 0.05）. There were more advantages on the intraoperative bleeding, operation time, peritoneal wear out rate and the additional troear rate in the three holes method groups （P 〈 0.05）. Conclusions The single hole method has the advantages of minimally invasion cosmetic. Rich clinical experience should be the basis of the technology of the potential and the scope of application, so as to reduce surgical trauma and cosmetic effect.

关 键 词：单孔法 三孔法 后腹腔镜 输尿管 结石 

分 类 号：R699[医药卫生—泌尿科学]