后腹腔镜联合胆道镜治疗嵌顿性输尿管上段结石及肾结石的临床应用  

Clinical application of retroperitoneal laparoscopy combined with choledochoscopy in the treatment of impacted upper ureteral calculi and renal calculi

作　　者：王亮[1] 杨伟[1] 曹文锋[1] 李沙丹[1] 刘祥丹[1] 陈卫国[1] 王庆堂[1] 刘吉文[1] 黄晓科[1] 李晓伟[1] 

机构地区：[1]成都军区总医院泌尿外科,四川成都610083

出　　处：《中国内镜杂志》2015年第2期196-198,共3页China Journal of Endoscopy

摘　　要：目的探讨后腹腔镜联合纤维胆道镜治疗嵌顿性输尿管上段结石合并肾结石的临床疗效。方法对26例经后腹腔镜下联合胆道镜术治疗输尿管上段合并同侧肾脏结石的临床资料进行回顾分析。该组输尿管上段结石均为单发,直径0.8~2.5 cm,肾结石1~10枚,结石直径0.3~1.2 cm。结果 26例手术均获成功,手术时间60~210 min,术中出血量30~150 ml,术后住院5~7 d,输尿管结石取尽率100%（26/26）,肾结石取尽率96.2%（25/26）,术后无严重并发症发生。结论后腹腔镜联合胆道镜取石术治疗嵌顿性输尿管上段结石合并肾结石,具有创伤小、恢复快、并发症少、清石率高等优点,是一种安全有效的治疗方法,值得推广应用。【Objective】To explore retroperitoneal laparoscopy combined with choledochoscopy in the treatment of impacted upper ureteral calculi and homolateral renal calculi. 【Methods】Clinical data of 26 patients suffering from impacted upper ureteral calculi and homolateral renal calculi treated by retroperitoneal laparoscopy combined with choledochoscopy were analyzed retrospectively. The ureteral calculi were 0.8 ~2.5 cm in diameters. There were1 ~10 kidney calculi, and the calculi were 0.3 ~1.2 cm in diameters. 【Results】All the operation of 26 cases was successfully performed, the operation time was 60~210 minutes, bleeding during operation was 30~150 m L. The operational ureteral stone free rate was 100%（26/26）, renal stone free rate was 96.2%（25/26）. The postoperative hospital stay was 5~7 days, and no serious complications occurred after operation.【Conclusion】Retroperitoneal laparoscopy combined with choledochoscopy stone extraction technique in treatment of impacted upper ureteral calculi combined with homolateral renal calculi offers advantages of less invasion, less complications, easy recovery, high stone free rate, which is worthy of popularization and application.

关 键 词：后腹腔镜 胆道镜 输尿管结石 肾结石 

分 类 号：R692.4[医药卫生—泌尿科学]