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目的:对比分析输尿管结石腹腔镜下输尿管切开取石与传统开放输尿管切开取石的疗效。方法:将38例输尿管结石患者随机分为研究组(腹腔镜手术组)和对照组(传统开放手术组),观察2组手术时间、术中出血量、并发症发生情况、术后肠功能恢复时间、拔除引流管与导尿管时间、术后下床活动时间以及住院时间等。结果:与对照组相比,研究组患者手术时间较短,术中出血量较少,术中肠功能恢复时间较早,引流管和导尿管拔出时间较早,下床活动时间较早,住院时间较短,差异具有统计学意义(P<0.05)。研究组患者术中及术后均未发生严重并发症,对照组患者7例出现并发症,随访半年未发现结石复发等情况。结论:腹腔镜下输尿管切开取石治疗输尿管结石具有多种优势,临床应用前景较好。
Objective: To compare the curative effect of ureterolithotomy laparoscopic ureterolithotomy with traditional open ureterolithotomy. Methods: Thirty-eight patients with ureteral calculi were randomly divided into study group (laparoscopic surgery group) and control group (traditional open surgery group). The operation time, intraoperative blood loss, complications, intestinal function recovery Time, drainage tube and catheter removal time, postoperative ambulation time and hospitalization time. Results: Compared with the control group, the study group had shorter operation time, less intraoperative blood loss, earlier recovery of intestinal function during operation, earlier drainage of the drainage tube and catheter, and earlier ambulation , Shorter hospital stay, the difference was statistically significant (P <0.05). There were no serious complications during and after surgery in the study group. Complications were found in 7 patients in the control group. No recurrence of stones was found in the follow-up for six months. Conclusions: Laparoscopic ureterolithotomy has many advantages in the treatment of ureteral calculi, and has a good clinical application prospect.