腹腔镜手术在治疗合并输尿管狭窄的输尿管上段结石中的临床应用  

Clinical application of laparoscopic surgery in the treatment of upper ureteral calculi complicated with ureteral stricture

作　　者：王俊[1] 刘方[1] 易睿[1] 

机构地区：[1]江西省萍乡市人民医院泌尿外科,江西萍乡337000

出　　处：《中国当代医药》2016年第34期47-49,共3页China Modern Medicine

摘　　要：目的 探讨腹腔镜手术治疗输尿管上段结石合并输尿管狭窄的临床效果。方法 选择2010年1月~2016年6月我院收治的36例输尿管上段结石合并输尿管狭窄患者作为研究对象,随机分为观察组和对照组,各18例。观察组采用腹腔镜取石手术,对照组采用经皮肾镜手术。记录两组的手术时间、住院时间及术后镇痛药物使用时间,比较两组的临床效果及术后并发症发生率。结果 观察组的手术时间、术后镇痛药物使用时间显著短于对照组,差异有统计学意义（P〈0.05）。两组的住院时间比较,差异无统计学意义（P〉0.05）。两组的结石清除率及不良反应发生率比较,差异无统计学意义（P〉0.05）。结论 腹腔镜手术治疗合并输尿管狭窄的输尿管上段结石可显著缩短患者治疗后的康复时间,且不良反应发生率较低,具有显著的临床优势。Objective To explore the clinical effect of laparoscopic surgery in the treatment of upper ureteral, calculi complicated with ureteral stricture.Methods 36 patients with upper ureteral calculi and ureteral stricture in our hospital from January 2010 to June 2016 were selected and randomly divided into the observation group and the control group, 18 cases in each group.The observation group was treated with laparoscopic surgery,the control group was treated by percutaneous renal surgery.The operation time,length of stay,and postoperative analgesic use time in the two groups were recorded,the clinical effect and the incidence rate of postoperative complications were compared between the two groups.Results The operation time,postoperative analgesic use time of the observation group was shorter than that of the control group,with significant difference （P〈0.05）.There was no significant difference in the length of stay between the two groups （P〉0.05）.The calculi clearance rate and the incidence rate of adverse reactions in the two groups were compared,the difference was not statistically significant （P〉0.05）.Condusion Laparoscopic surgery in the treatment of upper ureteral calculi with ureteral stenosis can significantly reduce the recovery time of patients after treatment,which has a low incidence of adverse reactions,with significant clinical advantages.

关 键 词：腹腔镜技术 经皮肾镜手术 输尿管狭窄 输尿管上段结石 

分 类 号：R693.4[医药卫生—泌尿科学]