开放术、腹腔镜取石术治疗嵌顿性输尿管上段结石效果对比

Effect Comparison Between Open Surgery and Laparoscopic Ureterolithotomy in the Treatment of Incarcerated Upper Ureteral Calculi

目的分析开放术以及腹腔镜输尿管切开取石术在治疗嵌顿性输尿管上段结石中的应用价值。方法选择来我院就医的嵌顿性输尿管上段结石患者(50例,2014年11月22日—2017年11月11日),通过就诊顺序单双号分组(分2组)。分别给予开放术、腹腔镜输尿管切开取石术治疗,对比2组相关临床指标情况、术后并发症发生情况、结石清除率。结果观察组术中出血量为(25.45±15.51)ml、下床活动时间为(2.11±0.51)d、住院时间为(7.77±0.52)d、结石清除率为100.00%,数据优于对照组,P<0.05。结论腹腔镜输尿管切开取石术治疗嵌顿性输尿管上段结石效果显著。

Objective To analyze the value of open surgery and laparoscopic ureterolithotomy in the treatment of incarcerated upper ureteral calculi. Methods The patients with incarcerated upper ureteral calculi in our hospital （50 cases, November 22, 2014 to November 11, 2017） were enrolled in this study and were treated respectively with open surgery or laparoscopic ureterolithotomy, the relative clinical data of two groups, the incidence of postoperative complications, stone clearance rate were compared. Results The bleeding volume in the observation group was （25.45±15.51） ml, the time for getting out of bed was （2.11±0.51） days, the length of hospital stay was （7.77±0.52） days and the stone clearance rate was 100.00%, P〈0.05. Conclusion Laparoscopic ureterolithotomy in the treatment of incarcerated upper ureteral calculi can achieve a significant effect.