后腹腔镜与开放手术治疗输尿管结石的对比分析  

Comparative analysis of retroperitoneal laparoscope and open surgery in the treatment of ureteral calculi

作　　者：韦兴聪 韦巍[2] 唐松林[1] 何超雄[1] 吴冠科 陈浩彬[1] 

机构地区：[1]广东省佛山市南海区第七人民医院泌尿外科,广东佛山528247 [2]广东省佛山市中医院泌尿外科,广东佛山528200

出　　处：《中国当代医药》2017年第7期73-75,共3页China Modern Medicine

摘　　要：目的比较腹腔镜输尿管切开取石与开放手术治疗输尿管结石的效果。方法收集并筛选2011年1月~2016年10月入我院经手术治疗的51例输尿管结石患者,依据手术方法分为观察组(27例)和对照组(24例)。观察组行后腹腔镜输尿管切开取石术,对照组行开放输尿管切开取石术,比较两组的治疗效果。结果观察组的术中出血量少于对照组,胃肠功能恢复时间、下床活动时间、术后住院时间短于对照组,差异有统计学意义(P<0.05)。观察组的手术时间长于对照组,差异有统计学意义(P<0.05)。两组的引流管留置时间比较,差异无统计学意义(P>0.05)。结论后腹腔镜治疗输尿管结石中的临床效果确切,手术创伤较小,术后恢复快,适合临床推广。Objective To compare the efficacy of laparoscopic ureterolithotomy and open surgery in the treatment of ureteral calculi.Methods 51 patients with ureteral calculi who were given surgical treatment in our hospital from Jan- uary 2011 to October 2016 were collected and screened.They were divided into the observation group （27 cases） and the control group （24 cases） according to the surgical procedures.The observation group was given retroperitoneal la- paroscopic ureterolithotomy,and the control group was given open ureterolithotomy.The therapeutic effects of the two groups was compared.Results The amount of intraoperative bleeding in the observation group was less than that in the control group,the recovery time of gastrointestinal function,ambulation time,postoperative hospital stay in the observation group was shorter than that in the control group,with significant difference （P〈0.05）.The operation time of the observa- tion group was longer than that of the control group,with significant difference （P〈0.OS）.There was no significant differ- ence between the two groups in the indwelling time of drainage tube （P〉0.05）.Conclusion The clinical effect of retroperitoneal laparoscope in the treatment of ureteral calculi is obvious,the trauma is small,and the postoperative re- covery is fast,which is suitable for clinical promotion.

关 键 词：后腹腔镜 输尿管切开取石术 输尿管结石 对照研究 

分 类 号：R693.4[医药卫生—泌尿科学]