腹膜后腹腔镜治疗难治性输尿管结石45例分析  

Retroperitoneal laparoscopy in the treatment of 45 cases with refractory ureteral calculi

作　　者：廖祥钧 

机构地区：[1]彭州市第二人民医院泌尿外科,四川省彭州611934

出　　处：《中国基层医药》2015年第16期2515-2517,共3页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的：探讨腹膜后腹腔镜治疗难治性输尿管结石的临床疗效。方法回顾性分析2010年1月至2015年1月收治的45例难治性管结石输尿患者的临床资料，总结手术方式、手术时间、并发症及住院时间等指标，评价治疗效果。结果45例患者均顺利完成手术，其中38例采取单纯切开取石术，7例同时行狭窄段输尿管切除吻合术，手术时间35～135 min，术后住院时间5～15 d。术后并发症：3例发生尿瘘，2例发生切口感染，均通过相应治疗后治愈。术后随访3～24个月，3例结石复发，2例并发输尿管轻度狭窄。结论腹膜后腹腔镜治疗难治性输尿管结石创伤小，恢复快，并发症少，是目前治疗难治性输尿管结石的首选方法。Objective To explore the clinical efficacy of retroperitoneal laparoscopy in the treatment of refractory for ureteral stones.Methods From January 2010 to January 2015,the clinical data of 45 patients with refractory ureteral stones were retrospectively analyzed.The manner,duration of surgery,complications and length of stay and other indicators were summarized,and the treatment effect was evaluated.Results 45 patients were success-fully operated,of which 38 patients taken simple lithotomy,7 cases received simultaneous resection and anastomosis of ureter stenosis,the surgery time was 35 -135 minutes,5 -15 days in the hospital after surgery.Postoperative compli-cations：urinary fistula in 3 cases and 2 cases of wound infection was curable with appropriate treatment.Postoperative follow -up 3 -24 months,3 cases of recurrent calculus,2 patients with mild stenosis of ureter.Conclusion The retroperitoneal laparoscopy in treatment of refractory ureteral calculi trauma has quicker recovery and fewer complica-tions,which is currently the preferred method for treatment of refractory for ureteral calculi.

关 键 词：腹膜后 腹腔镜检查 输尿管切开取石术 

分 类 号：R699.4[医药卫生—泌尿科学]