后腹腔镜输尿管切开取石术治疗输尿管上段嵌顿性结石

Retroperitoneal laparoscopic ureterolithotomy for impacted upper-ureteral calculi： a report of 42 cases

回顾分析2008年1月至2010年12月我院行后腹腔镜输尿管切开取石术（RPLU）治疗输尿管上段嵌顿性结石42例患者的临床资料。顺利完成RPLU40例，其中11例同时行腹腔镜输尿管炎性息肉电凝毁损术，无术中大出血发生，术后3d结石清除率达到100％。复查尿路平片（KUB）及B超示无结石残留。随访所有病例3～24个月，KUB及B超检查无结石复发，肾积水缓解率达100％。RPLU是治疗输尿管上段嵌顿性结石的微创手术方式，值得临床应用与推广。

The elinieal data of 42 patients with impaeted upper-ureteral ealeuli undergoing retroperitoneal laparoseopie ureterolilhotomy （RPLU） from Januar 2008 to Deeember 2010 were retrspeetively analzed. RPLU was sueeesstfully performed in 40 eases, and shmulaneous lalmroseot）ie eleetrlwoagulation ablation was also performed in 11 eases compliealed with ureleral inflammatory polyps. No massive bleeding occurred during the operations. The stone-fi＇ee rate 3 d after operalion was 100% , and no stone left as reviewed by kidney ureler t）tadder X-ray （KUB） and B-ultrasonography. l）uring the fi）llow-up of 3 to 24 mtmths （ mean 11 months） ,40 eases showed no stone reeurrenee and no ureteral stricture in KUB and B-uhrasonography. The hydronephrosis of all RPI,U patients relieved. Resuhs indicate that RPLU is a safe and effective minimally invasive operation for treatment of impacted upper-ureteral eah＇uli.