后腹腔镜输尿管切开取石术对难治性输尿管结石临床观察

Clinical Observation of Retroperitoneal Laparoscopic Ureterolithotomy in the Treatment of Ureteral Calculi

目的:探讨后腹腔镜输尿管切开取石术治疗难治性输尿管结石中的临床效果。方法:选取2015年1月至2017年2月中山市火炬开发区医院收治的输尿管结石患者62例,全部患者均行后腹腔镜输尿管切开取石术治疗,对其临床资料进行回顾性分析。结果:经过治疗后,全部患者的结石均得以取出,术后未见感染症状发生,治疗效果较佳。患者的手术时间为(64.3±15.3)min,术中出血量(33.6±8.2)m L,术后住院时间(6.5±1.5)d。负压引流管拔除时间为(2.5±0.5)d,双J管拔除时间为(30.2±2.5)d。通过开展5~10个月随访,患者无严重并发症和结石复发。结论:后腹腔镜输尿管切开取石术治疗难治性输尿管结石中的临床效果显著,安全性高,临床上值得借鉴。

Objective To investigate the clinical effect of retroperitoneal laparoscopic ureterolithotomy for the treatment of ureteral calculi. Methods 62 patients with ureteral calculi in our hospital from January 2015 to February 2017 were selected. All patients were treated with retroperitoneal laparoscopic ureterolithotomy. The clinical data were retrospectively analyzed. Results After treatment, all patients were able to remove the stones,no postoperative infection occurred, the treatment effect is better. The operation time of the patients was （64.3 ± 15.3） min, the amount of intraoperative blood loss （33.6 ± 8.2） mL, postoperative hospital stay （6.5 ±1.5） d. Negative pressure drainage tube extraction time was（2.5 ± 0.5） d, double J tube extraction time was（30.2 ~ 2.5） d. Through 5 - 10 months follow-up,no serious complications and recurrence of stones. Gonclusion Retroperitoneal laparoscopic ureterolithotomy is a safe and effective method for the treatment of ureteral calculi. It is worthy of clinical application.