后腹腔镜输尿管切开取石术治疗输尿管上段结石108例  

After laparoscope ureter incision to take stone on the treatment of ureteral Duan Jieshi 108 cases

作　　者：吴彩文[1] 袁正勇[1] 刘太平[1] 何伟[1] 夏东[1] 毛银昌 陈祖尧[1] 李冬[1] 

机构地区：[1]都江堰市人民医院泌尿外科,四川都江堰611830

出　　处：《中医学报》2013年第B12期75-75,共1页Acta Chinese Medicine

摘　　要：目的：探讨后腹腔镜输尿管切开取石术在输尿管上段结石治疗中的应用。方法：2009年6月至2013年4月我院共进行后腹腔镜输尿管切开取石术治疗输尿管上段结石共108例。其中男性67例，女性41例；右侧62例，左侧46例。结果：108例手术均成功。手术时间60～150分钟（平均95分钟）。术中出血20～200ml（平均80m1）。术后住院6～14天、平均8天。结论：后腹腔镜输尿管切开取石术治疗输尿管上段结石具备切口小、损伤小、出血少、住院时间短等优点，适合泌尿外科开展。Objective To explore the clinic value of the retroperitoneal laparoscopic surgery in Urology. Methods Our hospital a total of 53 cases of urolog- ical laparoscopic surgery, including 3 cases of adrenal tumor resection, 3 cases of nephrectomy, 35 cases of renal cyst decortication, and 12 cases of ureterolitho- tomy during July 2006 to December 2010. Results 53 patients were operated successfully. The operation time was 80 ~ 160 minutes in adrenalectomy （mean 110 minutes）, 1 l0 ~ 190 minutes in nephrectomy （mean 130 minutes）, 40 to 100 minutes in renal cyst decompression （average 70 minutes）, 70 to 170 mi- nutes in ureterolithotomy （mean 100 minutes）. Blood loss was 20 ~ 260ml （mean 80ml）. 6 to 12 days after hospitalization,an average of 8 days. Conclusion The merits of retroperitoneal laparoscopic surgery are small incision-minimal injury-less,bleeding and postoperative quick recovery. The retroperitoneal lapa- roscopes will play a more important role in urologic surgical procedures in the future.

关 键 词：后腹腔镜 腹膜后间隙 泌尿外科手术 

分 类 号：R714.12[医药卫生—妇产科学]