后腹腔镜下输尿管切开取石治疗第4腰椎水平输尿管结石的疗效观察  

Retroperitoneoscopic Ureterolithotomy for L4 Ureteral Calculi

作　　者：杜传策[1] 宋乐明[1] 钟久庆[1] 彭作锋[1] 刘泰荣[1] 秦文[1] 胡敏[1] 

机构地区：[1]南昌大学附属赣州医院泌尿外科,江西省南昌市341000

出　　处：《中国全科医学》2014年第32期3883-3884,3887,共3页Chinese General Practice

摘　　要：目的探讨后腹腔镜下输尿管切开取石治疗第4腰椎（L4）水平输尿管结石的临床效果。方法对赣州市人民医院2009年2月—2013年2月收治的32例L4水平输尿管结石患者行后腹腔镜下输尿管切开取石术。其中男19例、女13例,左侧17例、右侧15例;年龄21-65岁,平均43.6岁。合并患侧肾轻度积水12例、中度积水9例、重度积水11例。结果 32例均顺利完成手术,手术时间45-180 min,平均78.6 min;出血量10-60 ml,平均25 ml。术后1例发生漏尿,自行缓解。随访3-24个月,患侧肾积水消失或好转,无输尿管狭窄等并发症。结论后腹腔镜下输尿管切开取石可用于治疗L4水平输尿管结石。Objective To investigate the clinical effects of retroperitoneoscopic ureterolithotomy on ureteral calculi（ UC） of the fourth lumbar（ L4） level. Methods Thirty- two L4 UC patients were underwent retroperitoneoscopic ureterolithotomy in th Ganzhou Affiliated Hospital from February 2009 to February 2013,there into 19 males,13 females,aged 21- 65 years,averagely 43. 6 years old; 17 patients had left UC,15 had right; 12 combined with mild dropsy in the affected side,9 had moderate,11 had severe. Results Thirty- two patients completed surgeries,the surgical time was 45- 180 min,averagely 78. 6 min; the blood loss was 10- 60 ml,averagely 25 ml. One patients had leakage of urine,was spontaneous remission. The follow- up lasted 3- 24 months. The hydronephrosis disappeared or improved without ureterostenoma and other complications. Conclusion Retroperitoneoscopic ureterolithotomy can treat L4 UC.

关 键 词：腹腔镜 输尿管结石 外科手术 腰椎 治疗结果 

分 类 号：R693.4[医药卫生—泌尿科学]