嵌顿性输尿管上段结石采用后腹腔镜输尿管切开取石术治疗的临床研究

Clinical Report of Retroperitoneal Laparoscopic Ureter Incision Lithotomy to Treat Impacted Upper Ureteric Calculi

目的:探讨嵌顿性输尿管上段结石采用后腹腔镜输尿管切开取石术治疗的临床疗效。方法:选择什邡第二人民医院2011年1月-2014年10月收治的100例嵌顿性输尿管上段结石患者为观察对象,随机分为对照组和观察组,各50例,分别给予常规开放手术治疗和后腹腔镜输尿管切开取石术治疗,回顾分析两组治疗效果。结果:观察组的观察对象不良反应发生率和手术治疗指标均明显优于对照组,两组患者临床治疗情况比较,差异具有统计学意义(P<0.05)。结论:后腹腔镜输尿管切开取石术是一种较为有效且安全的嵌顿性输尿管上段结石临床治疗方法。

Objective To investigate the clinical curative effect of retroperitoneal laparoscopic ureter incision lithotomy on impacted upper ureteric calculi. Methods 100 cases of impacted upper ureteral calculi patients in our hospital were randomly divided into control group and experimental group, which were given conventional open operation treatment and retroperitoneal laparoscopic ureterolithotomy treatment retrospectively. The treatment effect for two groups were analyzed. Results The experimental group＇s adverse reaction incidence and therapeutic index of object operation were signifi cantly better than the control group, and the difference was statistically signifi cant（P〈0.05）. Conclusion Retroperitoneal laparoscopic ureterolithotomy for impacted upper ureteral stones treatment is a safe and effective method, which has high value of popularization.