摘要
目的:比较经腹与后腹腔镜治疗嵌顿性输尿管上段结石的临床效果。方法:采用腹腔镜技术行输尿管上段切开取石术100例,其中40例采用经腹腔途径手术,60例采用经腹膜后途径手术。结果:1例因结石移入肾脏改行开放性手术,余99例取石成功。手术时间为42～170分;其中经腹腔组与经腹膜后组手术时间、术后下床活动时间、术后引流时间、术后住院时间组间比较,差异均无显著性。结论:经腹与后腹腔腹腔镜输尿管上段切开取石术是安全有效方法,可代替传统开放性手术,是嵌顿输尿管上段结石首选治疗方法,损伤小,康复快。
Objective:To explore the effect of transabdominal and retroperitoneal laparoscopic ureterolithotomy.Methods:100 cases of impacted upper ureteral calculi have been treated by laparoscopic ureterolithotomy,among 40 cases by transabdominal,60 cases by retroperitoneal.Results:of all thecases 99 patients underwent retroperitoneoscopic ureterolithotomy successfully,only 1 case converted to operation.Compare the transabdominal with retroperitoneal laparoscopic ureterolithotomy,the operation time,postop out-of-bed activity,postop sewed up the incision,postop length of stayis,above mentioned groups comparision are difference from none sing nificance.Conclusions:The transabdominal and retroperitoneal laparoscopic ureterolithotomy is a safe and effective minimally invasive procedure,it can take place of conventional open surgery in part,and in selected patients with large chronically impacted upper urteric stones,it may be considered as the first-line treatment.have advantages of little injury and quick recovery.
