后腹腔镜下输尿管中上段结石治疗临床经验总结  

Retroperitoneal Laparoscopic Treatment of Middle and Upper Ureteral Calculi: A Clinical Experience

作　　者：于杰[1] 田闯[1] 石松山[1] 陈泰安[1] 周兵[1] 吴凯[1] 

机构地区：[1]江苏省泗洪县分金亭医院泌尿外科,江苏泗洪223900

出　　处：《中国继续医学教育》2017年第18期138-140,共3页China Continuing Medical Education

摘　　要：目的探讨后腹腔镜下输尿管中上段结石治疗的手术技巧及效果。方法以2013年1月—2017年4月我院收治的72例输尿管中上段结石患者为研究对象,全部患者均行腹膜后腹腔镜下输尿管切开取石术。观察患者基本手术指标,统计手术成功率、结石清除率及术后并发症。结果 72例患者后腹腔镜手术均顺利完成,无中转开腹病例,手术成功率100%。术后复查取石干净、彻底,无残留,结石清除率100%,并发症发生率0%。患者平均手术时间(65.5±10.4)min,术中出血量(38.5±5.2)ml,术后住院时间(5.1±1.2)d。结论后腹腔镜下输尿管切开取石术治疗输尿管中上段结石创伤小、净石率高,应用安全有效。Objective To investigate the operative technique and effect of retroperitoneal laparoscopic upper ureteral calculi. Methods From January2013 to April 2017, 72 patients with upper and middle ureteral calculi were treated in our hospital. All patients underwent retroperitoneal laparoscopic ureterolithotomy. The basic operative parameters, operative success rate, stone clearance rate and postoperative complications were observed. Results Laparoscopic surgery was successfully performed in 72 patients without conversion to open surgery, with a success rate of 100%. After the operation, the stones were removed completely and completely. There was no residual, the stone removal rate was 100%, and the complication rate was 0%. The average operation time was（65.5±10.4） min, the intraoperative blood loss was（38.5±5.2） ml, and the postoperative hospitalization time was（5.1±1.2）d. Conclusion Retroperitoneal laparoscopic ureterolithotomy is a safe and effective method for the treatment of middle and upper ureteral calculi with small trauma and high stone removal rate.

关 键 词：输尿管 中上段结石 腹膜后腹腔镜 

分 类 号：R691[医药卫生—泌尿科学]