后腹腔镜下输尿管结石取石的疗效与安全性观察

Efficacy and safety of laparoscopic ureterolithotomy for ureteral stone

目的:观察后腹腔镜治疗输尿管结石的临床疗效与其安全性。方法:观察组腹腔镜下输尿管取石,对照组传统开腹手术取石,比较两组临床疗效及并发症。结果:观察组患者在手术时间、术中出血量、住院时间、二次取石比率方面均明显短于或低于对照组(P<0.01);在电解质紊乱、感染、肝肾功能异常、输尿管粘连、尿漏等并发症的发生率则显著低于对照组(P<0.01)。结论:后腹腔镜输尿管取石具有疗效好且并发症少的特点,值得临床推广运用。

Objective：To observe the efficacy and safety on laparoscopic ureterolithotomy for treatment of ureteral stone.Methods：Patients in observation group were treated by laparoscopic ureteral stone extraction,and control group were treated by the traditional open surgery.The clinical efficacy and complications were compared.Results：The operative time,blood loss,hospital stay,the second calculus removing ratios of patients in observation group were significantly shorter or less than that in the control group（P0.01）;The electrolyte disorders,infections,liver and kidney dysfunction,ureteral adhesion,urine leak rate were significantly lower than that in the control group（P 0.01）.Conclusion：Laparoscopic ureterolithotomy for treatment of ureteral stone shows better efficacy and fewer com-plications,which is worthy of clinical application.