腹膜后腹腔镜输尿管切开取石术的疗效研究

A randomized study comparing retroperitoneal laparoscopic ureterolithotomy with Ureterolithotomy for therapeutic effect

目的探讨腹膜后腹腔镜输尿管切开取石术治疗输尿管上段结石的手术技巧及临床效果。方法将需手术治疗输尿管上段结石患者60名,术前随机分为两组:腹膜后腹腔镜输尿管切开取石术组(后腹腔镜组)和输尿管切开取石术组(开放手术组)。观察比较两组手术疗效、住院费用及患者满意度。结果后腹腔镜组的术中出血量、术后住院日、住院费用及并发症均少于开放手术组,患者满意度高于开放手术组。结论腹膜后腹腔镜输尿管切开取石术具有安全、可靠、创伤小、净石率高等优点。治疗较大的上段输尿管结石尤其炎性包裹的结石可作为首选方法。

Objective To investigate the surgical techniques and clinical effects of retroperitoneal laparoscopic ureterolithotomy for upper ureteral calculus.Methods 60 patients who needed surgical treatment for ureteral calculi of the upper ureter were randomly divided into two groups: retroperitoneal laparoscopic ureterolithotomy group(retroperitoneal laparoscopic group) and ureterolithotomy surgery group(open surgery group).We compared the effect,hospital costs and patients'satisfaction.Results Retroperitoneal laparoscopic ureterolithotomy group had less intraoperative blood loss,postoperative length of stay,costs and complications and more satisfaction versus open surgery group.Conclusion Retroperitoneal laparoscopic ureterolithotomy is safe,reliable and minimally invasive.It may be considered as the first choice in treatment of upper ureter stone and calculus encapsulated by inflammation.