摘要
目的比较腹腔镜输尿管上段切开取石术与开放性输尿管上段切开取石术的疗效,并探讨腹腔镜经腹膜后途径行输尿管上段切开取石术的处理要点。方法回顾分析腹腔镜输尿管上段切开取石术96例(A组)及开放性输尿管上段切开取石术62例(B组)的临床资料,比较两组的手术时间、术中出血量、术后肠功能恢复情况、术后下床活动时间、术后住院天数、住院总费用、术后疼痛程度、术后并发症等指标。结果A组在术中出血、术后肠功能恢复情况、术后下床活动时间、术后住院天数、术后疼痛程度、术后并发症等方面明显优于B组,差异有显著性(P<0.01)。B组在总住院费用上优于A组,差异有显著性(P<0.01)。手术时间两组差异无显著性(P>0.05)。结论腹腔镜输尿管上段切开取石术与开放手术相比具有创伤小、恢复快、痛苦小等优点,是输尿管上段结石患者微创治疗的一种可选择的方法。腹腔镜输尿管上段手术以经腹膜后途径为佳。
【Objective】To compare the therapeutic effects of laparoscopy and open ureterolithotomy in the treat-ment of ureterastone and investigate the management pringciples of retroperi to neal laparoscopic ureterolithotomy.【Methods】The clinical data of 96 cases(group A) received laparosxopic ureterolithotomy and 62 cases(group B) received open ureterolithotomy were retrospectively analyzed.Operating time,amount of bleeding during operation,recovery of intestinal function after operation,the operation cost,aching de...
出处
《中国内镜杂志》
CSCD
北大核心
2008年第12期1265-1268,共4页
China Journal of Endoscopy
