75例腹腔镜治疗输尿管结石的临床探讨

Laparoscopic treatment of ureteral calculi in 75 cases of clinical observation

目的探讨腹腔镜手术治疗输尿管结石的治疗效果及术后并发症情况。方法选择该院2011年1月—2014年6月收治的输尿管结石患者75例,给予腹腔镜下输尿管取石治疗,观察手术疗效以及并发症的发生率。结果该组75例患者均顺利完成手术,无中转开腹患者,平均手术时间为(152.4±29.9)min,平均术中出血量为(82.0±10.3)m L,平均住院时间为(6.2±2.4)d,平均肠道功能恢复时间为(15.3±2.4)h,其中6例患者发生电解质紊乱,6例患者发生肝肾功能不全,无其他并发症发生。结论腹腔镜手术治疗输尿管结石,术中操作空间大,视野清晰,安全性高,疗效满意,值得临床推广应用。

Objective To investigate the therapeutic effects and complications of laparoscopic treatment of ureteral calculi cases. The method of choice in patients with ureteral stones in our hospital from January 2011 to June 2014 were treated 75 cases, given the laparoscopic treatment of ureteral stone observed incidence of surgery and complications. Results The 75 patients were suc-cessfully operated without laparotomy patients, mean operative time was （152.4±29.9）min, the average blood loss was （82.0±10.3） mL, the average length of stay was（6.2±2.4）d, the average bowel function recovery time was （15.3±2.4）h, which occurred in 6 pa-tients electrolyte imbalance, six cases of patients with liver and kidney dysfunction, no other complications. Conclusion Laparo-scopic surgical treatment of ureteral calculi shorter operative time, and small trauma, quicker recovery and the prognosis is good, safe operation, satisfactory, worthy of clinical application.