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目的:比较后腹腔镜与小切口输尿管切开取石术治疗输尿管上段结石的疗效。方法:从2005年1月～2010年12月,对98例单侧输尿管上段结石患者,62例采用后腹腔镜切开取石,36例采用小切口输尿管切开取石术治疗。结果:98例手术均成功取石,4例后腹腔镜组患者因输尿管炎症粘连明显改开放手术,腔镜组在平均出血量、术后下床时间、术后住院天数及并发症发生率上均优于小切口组,而在手术时间及总住院费用上高于小切口组。结论:两种手术方式均为有效、安全的微创技术,小切口输尿管切开取石术适合在基层医院开展,后腹腔镜组较小切口开放手术组并发症较少,患者较容易接受。
Objective: To compare the efficacy of retroperitoneal laparoscopy and small incision ureterolithotomy in the treatment of upper ureteral calculi. Methods: From January 2005 to December 2010, 98 patients with unilateral ureteral calculi were enrolled, 62 patients underwent retroperitoneoscopic laparoscopic surgery and 36 patients underwent small incision ureterolithotomy. Results: All the 98 surgeries were successfully performed. Four cases of retroperitoneal laparoscopic group were changed significantly because of ureteral inflammation adhesion. The mean amount of bleeding, the time to get out of bed, the length of postoperative hospital stay and the complication rate Superior to the small incision group, but higher than the small incision group in the operation time and the total hospitalization cost. Conclusions: Both of the two surgical methods are effective and safe minimally invasive techniques. Small incision ureterolithotomy is suitable for primary hospital. There are fewer complications in the small laparotomy open laparotomy group and the patients are more receptive.