腹腔镜输尿管切开取石手术106例临床分析

106 Cases of Ureterolithotomy Laparoscopic Surgery

目的探索腹腔镜输尿管切开取石手术的重点技术与在临床中使用价值。方法将之前所做腹腔镜输尿管切开取石术106例重新进行回顾、思考、总结。结果在106例手术中，2例失败，转而进行开放手术，104例取石手术成功；手术时间70-170min，平均100min，术中出血量30～60mL，平均40mL。经过手术后的观察，所有患者均没有发生漏尿现象。结论腹腔镜输尿管切开取石手术的效果较好，疗效确切，对患者的损伤较小，手术后恢复时间短，在大多数情况下，可替代以前常用的开放性输尿管切开取石术。

Objective To explore the ureterolithotomy laparoscopic surgical technology and the key value in clinical use. Methods Before doing laparoscopic surgery ureterolithotomy 106 cases were reviewed again, thinking, summary. Results In 106patients surgery, 2 cases of failure, instead of open surgery, the remaining 104 cases successfully stone surgery; operation time in each 70-170min, with an average 100min, blood loss during surgery In the 30-60mL with an average of 40mL. After post-operative observation, all patients have no leakage phenomenon. Conclusion Laparoscopic surgery ureterolithotomy better and effective, less damage to patients, shorter recovery time aider surgery, in most cases, can replace previously used open ureterolithotomy surgery.