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后腹腔镜输尿管切开取石术 被引量:4

Retroperitoneal laparoscopic ureterolithotomy:Report of 25 cases
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摘要 目的探讨后腹腔镜输尿管切开取石术的安全性和疗效。方法回顾性分析我院3年来经后腹腔镜下输尿管切开取石术25例患者临床资料。其中,男13例,女12例;年龄23~67岁,平均46.7±8.7岁。均为单侧结石,其中左侧7例,右侧18例。结石直径7~15mm。经超声、IVU、CTU、MRU等明确诊断。所有病例术中均留置双J管。结果25例手术全部成功。手术时间67~180min,平均87.7±20.5min,住院时间5~8d,平均6.3d。随访时间1个月~3年,平均1.1年,无并发症发生。结论后腹腔镜下输尿管切开取石术安全性高、效果好,是治疗输尿管结石的有效方法之一。 Objective To investigate the efficacy and safety of retroperitoneal laparoscopic ureterolithotomy. Methods 25 cases of upper ureteral calculus were reviewed retrospectively undergoing retroperitoneal laparoscopic ureterolithotomy in our hospital in recent 3 years. Of the 25 cases, 13 were male, 12 female. Age ranged from 23 to 67 years with a mean of 46.7 years. All were unilateral, in which 7 were left, 18 right. The diameter ranged from 7 to 15 millimeters. The ureteral stones were confirmed by ul- trosonic examinations or/and IVU or/and CT seaning or/and MRU. All patients were treated with double J stent as internal stent and drainage. Results The operation was successfully completed in 25 cases. The operation time was from 67 to 180 minutes with a mean of 87.7 minutes. The postoperative hospitalization was from 5 to 8 days with a mean of 6.3 days. Postoperative recovery was uneventful. No complication was ob- served during a follow-up of 1-36 months with a mean of 18 months. Conclusions Retroperitoneal laparoscopic ureterolithotomy is an ideally alternative procedure for upper ureteral stone with good safety and efficacy.
出处 《中华腔镜泌尿外科杂志(电子版)》 2009年第5期51-53,共3页 Chinese Journal of Endourology(Electronic Edition)
关键词 输尿管结石 腹腔镜 输尿管切开取石术 Ureteral calculus Laparoscopy Ureterolithotomy
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