改良腰部斜切口在输尿管上段切开取石术中的应用

Application of modified oblique shorter incision in upper ureterolithotomy

目的探讨改良腰部斜切口在输尿管上段切开取石术中的临床应用价值。方法选择2008年1月至2011年10月该院输尿管上段结石患者101例,采用传统腰部斜切口患者32例为传统组,采用腰部直切口手术患者26例为直切口组,采用改良腰部斜切口手术患者43例为改良组,比较3种手术方式的疗效。结果 3组患者手术时间、手术切口大小、失血量、下床活动时间、术后疼痛指数和结石移位比较,差异有统计学意义(P<0.05)。结论改良腰部斜切口手术治疗输尿管上段结石具有对患者损伤小、痛苦小、恢复快等优点。

Objective To investigate the clinical application value of modified oblique shorter incision in upper ureterolithotomy. Methods 101 patients with upper ureteral caculi in this hospital from January 2008 to October 2011 were selected and divided into 3 groups, the tradition group（32 cases） by adopting the traditional waist oblique incision,the waist straight incision group（26 case） by adopting the waist straight incision and the modified waist oblique incision group（43 cases） by adopting the modified waist ob- lique incision for performing upper ureterolithotomy. The effects were compared among 3 kinds of operative patterns. Results The operation time, operative incision size, blood loss volume, leaving bed time, postoperative pain index and calculi mobility showed sta- tistical differences among 3 groups（P〈0.05）. Conclusion Modified waist oblique shorter incision has the advantages of less dam- age,little pain,rapid recovery and so on.