腹腔镜下输尿管切开取石术98例临床分析  

Clinical Study on Laparoscopic Ureter lithotomy for 98 Cases

作　　者：黄杰[1] 肖民辉[1] 余闫宏[1] 张德清[1] HUANG Jie XIAO Min--hui YU Yan--hong ZHANG De--qing(Dept. of Urology, First People＇s Hospital of Yunnan Province, Kunming China 650032, Chin)

机构地区：[1]云南省第一人民医院泌尿外科,云南昆明650032

出　　处：《昆明医科大学学报》2016年第11期110-112,共3页Journal of Kunming Medical University

摘　　要：目的探讨输尿管结石应用腹腔镜技术治疗的适应证、价值与技巧.方法回顾性分析98例输尿管上中下段结石患者的临床资料,均行彩超、KUB.IVP,CTU或MRU等影像学检查确诊,其中输尿管上段结石42例,输尿管中段结石35例,下段结石21例,所有病例均行腹腔镜输尿管切开取石术.结果 98例患者均一次性取石成功,取出结石大1.5～3.0 cm;平均手术时间60（45～100）min;平均术中出血量30（20～60）m L.85例获随访,随访时间为3~38个月,无输尿管或其他严重并发症发生.结论在熟练掌握腹腔镜技术的基础上,腹腔镜治疗输尿管结石显示了其独特的优越性,可作为开放手术或其他微创方法的重要替代和补充.Objective To evaluate the clinical indication, research value and surgical techniques of retroperitoneal laparoscopic ureter lithotomy for ureteral calculi. Methods Clinical data of 98 cases were retrospectively analyzed. All the patients underwent RLU, KWB, IVP, CTU or MRU examination and diagnosed with ureteral calculi, with 42 cases of upper ureteral calculi, 35 cases of middle ureteral calculi, and 21 cases of low ureteral calculi. Laparoscopic ureter lithotomy was performed on all the patients. Results All the 98 cases underwent laparoscopic ureter lithotomy （RLU） successfully, with the sizes of stones ranging from 1.5 to 3.0cm, the mean operative time 60 minutes （from 45 to 100 minutes） , and mean blood loss 30 mL （from 20 to 60ml） Complication had not been observed in 85 cases for 3-38 months follow-up. Conclusions The treatment of ureteral calculi with lapa-endo-scopic ureter lithotomy shows its unique superiority on the basis of skilled operative technology. Lapa-endo-scopic ureter lithotomy can be a preferred method to be performed or be a compensation method in some cases.

关 键 词：腹腔镜 输尿管结石 输尿管切开取石术 

分 类 号：R699[医药卫生—泌尿科学]