后腹腔镜输尿管切开取石治疗输尿管上段结石临床疗效探讨

Study on Clinical Curative Effect of Retroperitoneoscopic Ureterolithotomy in Treatment of Upper Ureteral Calculi

目的探讨输尿管上段结石患者运用后腹腔镜输尿管切开取石治疗的临床疗效。方法方便选取80例该院2014年2月—2017年3月期间收治的输尿管上段结石患者进行研究,按照随机数字法分组,因而实验组与对照组各40例。对照组采用输尿管镜碎石取石术,实验组采用后腹腔镜输尿管切开取石术,比较两组结石取净率、并发症发生率与临床指标。结果实验组住院时间为(5.8±1.8)d,手术时间为(50.2±10.1)min,较对照组长(P<0.05);实验组镇痛泵镇痛时间为(2.1±0.9)d,并发症发生率为2.5%,结石取净率为100.0%,明显优于对照组(P<0.05)。结论后腹腔镜输尿管切开取石术不惟可减少输尿管上段结石患者的镇痛泵镇痛时间,也可提高其结石取净率,同时降低其并发症发生率,临床应用价值极高。

Objective To especially study the clinical curative effect of Retroperitoneoscopic ureterolithotomy in treatment of upper ureteral calculi. Methods 80 cases of patients with upper ureteral calculi admitted and treated in our hospital from February 2014 to March 2017 were conveniently selected and randomly divided into two groups with 40 cases in each, the control group and the experimental group were respectively treated with ureteroscopic lithotripsy and retroperitoneoscopic ureterolithotomy, and the stone extraction rate, incidence rate of complications and clinical index were compared between the two groups. Results The length of stay and operation time in the experimental group were respectively（5.8 ±1.8）d and（50.2±10.1）min, which were longer than those in the control group（P〈0.05）, and the patient controlled analgesia time, incidence rate of complications and stone extraction rate in the experimental group were respectively（2.1 ±0.9）d, 2.5% and100.0%, which were obviously better than those in the control group（P〈0.05）. Conclusion Retroperitoneoscopic ureterolithotomy can reduce the patient controlled analgesia time of patients with upper ureteral calculi, improve the stone extraction rate and reduce the incidence rate of complications, and the clinical application value is extremely high.