经尿道输尿管镜碎石术和后腹腔镜输尿管切开取石术的临床分析  

Clinical analysis of transurethral ureteroscopic lithotripsy and retroperitoneal laparoscopic ureterolithotomy

作　　者：石磊 

机构地区：[1]江西省武宁县人民医院泌尿外科,江西武宁332300

出　　处：《中国当代医药》2014年第13期18-20,共3页China Modern Medicine

摘　　要：目的 比较经尿道输尿管镜碎石术和后腹腔镜输尿管切开取石术的临床疗效和应用效果。方法 选取本院2010年1月-2012年12月收治的输尿管上段结石患者80例，将所有患者随机分为输尿管镜组和后腹腔镜组，输尿管组患者行经尿道输尿管镜碎石术，后腹腔镜组患者行后腹腔镜输尿管切开取石术，并对两组的治疗效果进行比较。结果 输尿管镜组在手术时间、术中出血量、术后下床活动时间以及住院时间方面与后腹腔镜组比较，差异有统计学意义（P〈0．05）；后腹腔镜组的手术成功率、一次性结石清除率明显高于输尿管镜组，术后并发症发生率明显低于输尿管镜组（P〈0．05）。结论 与经尿道输尿管碎石术相比，后腹腔镜输尿管切口取石术在手术时间、术中出血量、术后住院时间方面不具有明显优势，但是其在手术成功率、一次性结石清除率以及术后并发症方面具有较大优势，可作为临床治疗输尿管结石的良好选择。Objective To compare the clinical efficacy and application effect of transurethral ureteroscopic lithotripsy and retroperitoneal laparoscopic ureterolithotomy. Methods 80 patients with upper ureteral calculi treated in our hospital from January 2010 to December 2012 were selected and divided into the ureteroscope group and the retroperitoneal group.The ureteroscope group was treated with transurethral ureteroscopy lithotripsy,and the retroperitoneal laparoscopic group was treated with retroperitoneal laparoscopic ureterolithotomy.The treatment effect of two groups was compared. Results Compared with the retroperitoneal group,there was a statistical difference of the operation time,intraoperative blood loss,ambulation time after operation and length of stay of the retroperitoneal laparoscopic group （P〈0.05）;the success rate of operation,disposable stone clearance of the retroperitoneal laparoscopic group was higher than those in the ureteroscope group,the incidence rate of postoperative complication of the retroperitoneal laparoscopic group was evidently lower than those of the ureteroscope group （P〈0.05）. Conclusion Compared with transurethral ureteroscopy lithotripsy,retroperitoneal laparoscopic ureterolithotomy has no advantage for operation time, intraoperative bleeding amount and length of stay after operation,but it has advantages for success rate of operation,disposable stone clearance and postoperative complications,which can be used as the best choice of treating ureteral calculus.

关 键 词：经尿道输尿管镜碎石术 后腹腔镜 切开取石术 

分 类 号：R693.4[医药卫生—泌尿科学]