小切口输尿管切开取石术

URETEROLITHOTOMY THROUGH MINILUMBOTOMY INCISION

目的 :探讨小切口输尿管切开取石术的要点与优点。方法 :将有体外冲击波碎石 ( ESWL)禁忌证的6 9例输尿管结石病人 ,随机分为常规切口组与小切口组 ,进行对比观察、分析。结果 :小切口输尿管切开取石术与常规切口比较 ,其切口的平均长度缩短近 1 /2 ,手术所需时间缩短约 2 0 min,术后病人伤口痛较轻 ,两者比较 ,差异均有显著性 ( P<0 .0 1 )。结论 :小切口输尿管切开取石术具有创伤小、手术时间短、病人恢复快等优点。

Objective:To assess the essentials and advantages of the ureterolithotomy method with minilumbotomy incision.Methods:Sixty nine cases with ureterolithiasis which couldnt be treated by ESWL were randomly divided into minilumbotomy incision group and conventional incision group to compare the clinical efficacy of two operative methods above.Results:The centre of the minilumbotomy incision was determined according to the location of ureter stone.The length of minilumbotomy incision was half that of conventional incision,and the operative duration was shorten about 20 minutes with a more slight postoperative pain.Conclusion:This method is an effective procedure with low morbidity,short operative duration and speedy recovery.The key of this method is to locate the ureter stone accurately before operation.