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目的探讨后腹腔镜输尿管切开取石术治疗嵌顿性输尿管上段结石的临床疗效。方法选取本院2010年1月~2012年12月间收治的108例嵌顿性输尿管上段结石患者,随机分为常规手术治疗组(对照组)和后腹腔镜输尿管切开取石术治疗组(观察组),每组各54例,观察两组患者的临床疗效。结果观察组患者在术中出血量、术后下床活动时间肠功能恢复时间以及住院时间均少于对照组患者,组间差异有统计学意义(P<0.05)。两组患者在术后并发症发生率之间的差异有统计学意义(P<0.05)。结论采用后腹腔镜输尿管切开取石术治疗嵌顿性输尿管上段结石临床疗效确切,术后并发症发生率低,安全、有效,有替代传统开放性手术治疗的趋势。
Objective To investigate the clinical effect of retroperitoneal laparoscopic ureterolithotomy in the treatment of upper ureteral calculi. Methods A total of 108 incarcerated ureteral calculi treated in our hospital from January 2010 to December 2012 were randomly divided into conventional surgery group (control group) and retroperitoneal laparoscopic ureterolithotomy group (observation group Group), 54 cases in each group, the clinical efficacy of two groups were observed. Results In the observation group, the amount of bleeding during operation, the recovery time of intestinal function after operation and the length of hospital stay were all less than those in the control group. There was significant difference between the two groups (P <0.05). The difference between the two groups in the incidence of postoperative complications was statistically significant (P <0.05). Conclusions The retroperitoneal laparoscopic ureterolithotomy for the treatment of incarcerated ureteral calculi has definite curative effect. The incidence of postoperative complications is low, safe, effective and has the potential to replace the traditional open surgery.