经腹膜后腔腹腔镜治疗回肠膀胱术后输尿管嵌顿性结石五例临床分析  

Retroperitoneal laparoscopic ureterolithotomy for impacted ureteral calculi after radical cystectomy and ileal conduit （report of 5 cases）

作　　者：董毅 沈宏峰 何耿 李威 黄尉 

机构地区：[1]解放军第一八七中心医院泌尿外科,海南省海口571159 [2]海南省屯昌县75560部队医院外科,571600

出　　处：《中国基层医药》2017年第15期2347-2350,共4页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的 探讨经腹膜后腔腹腔镜（以下简称后腹腔镜）治疗回肠膀胱术后输尿管嵌顿性结石的临床疗效与安全性.方法 回顾性分析5例回肠膀胱术后并发输尿管嵌顿性结石患者接受后腹腔镜切开取石治疗患者的临床资料,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 5例患者均采取后腹腔镜输尿管切开取石术顺利完成手术,手术时间平均（82.0±27.7）min,引流管拔除时间平均（5.4±1.14）d,术后住院时间（10.0±2.9）d,术后随访6-48个月,未见严重远期并发症.结论 后腹腔镜治疗回肠膀胱术后输尿管嵌顿性结石疗效满意,安全性高.Objective To evaluate the clinical efficacy and security of retroperitoneal laparoscopic ureterolithotomy（RLUL） for impacted ureteral calculi after radical cystectomy and ileal conduit.Methods 5 patients with unilateral impacted ureteral calculi after radical cystectomy and ileal conduit received RLUL were selected,and a retrospective study was performed for manner,duration of surgery,complications and length of stay and other indicators,and the treatment effect was evaluated.Results All procedures were successful and the mean operation time was （82.0±27.7）min,the extubation time was （5.4±1.1）d,hospitalization time was （10.0±2.9）d.Postoperative follow up for 6-48 months,there were no obvious complications.Conclusion The RLUL showed satisfactory availability and security for management ureteral calculi after radical cystectomy and ileal conduit.

关 键 词：腹腔镜检查 输尿管切开取石术 回肠膀胱术 

分 类 号：R737.14[医药卫生—肿瘤]