腹腔镜与开放性输尿管切开取石术的效果比较(附37例报告)  

A comparative study of laparoscopy and open ureterolithotomy

作　　者：王超洋[1] 洪晓明[1] 陈臻[1] 

机构地区：[1]浙江江山市人民医院泌尿外科,江山324100

出　　处：《腹腔镜外科杂志》2003年第2期98-99,共2页Journal of Laparoscopic Surgery

摘　　要：目的 :评价腹腔镜输尿管切开取石术与开放性输尿管切开取石术的临床价值。方法 :回顾分析腹腔镜输尿管切开取石术 15例 (A组 )及开放性输尿管切开取石术 2 2例 (B组 )的临床资料 ,并比较 2组的手术时间、术中出血量、术后肠功能恢复情况、术后下床活动时间、住院总天数、住院总费用、并发症等指标。结果 :A组在手术中出血、术后肠功能恢复情况、术后下床活动时间、住院总天数、并发症方面明显优于B组 ,差异有高度显著性 (P <0 .0 1)。B组在总住院费用优于A组 ,差异有高度显著性 (P <0 .0 1) ;手术时间两组差别无显著性意义 (P >0 .0 5 )。结论 :腹腔镜输尿管切开取石术同开放手术相比具有创伤小、恢复快、痛苦小的优点 ,中上段输尿管结石以腹膜后径路手术为佳。Objective:To evaluate the clinical value of laparoscopy and open ureterolithotomy in the treatment of ureteral stone.Methods:The clinical data of 15 cases (group A) receiving laparoscopic ureterolithotomy and 22 cases (group B) receiving open ureterolithotomy were retrospectively analyzed. Operating time, amount of bleeding during operation, recovery of intestinal function after operation, ambulation after operation,the hospitalization, the operation cost, total cost of hospitalization and complications were compared between group A and group B. Results:In group A, the amount of bleeding during operation, recovery of intestinal function after operation, ambulation after operation, the hospitalization and the occurrence of complications were all better than those in group B (P<0.01). while in group B, the operation cost and the total cost of hospitalization were less than those in group A(P<0.01).Conclusions:As compared to open ureterolithotomy, laparoscopic ureterolithotomy has the advantages of rapid recovery and less pain. Laparoscopic ureterolithotomy is superior to open ureterolithotomy.

关 键 词：输尿管结石 腹腔镜输尿管切开取石术 开放性输尿管切开取石术 腹膜外入路 

分 类 号：R699[医药卫生—泌尿科学]