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目的评价腹腔镜下输尿管上段切开取石术治疗输尿管结石的临床效果。方法选择2010年4月—2012年12月在该院泌尿外科接受腹腔镜下输尿管上段切开取石术的患者47例作为观察组研究对象,同时选取同时期在我院采用传统开放手术输尿管切开取石的患者32名作为对照组。比较二组患者的一般人口学特征(平均年龄、性别)以及手术时间、术中失血量、术后住院时间、术后并发症等情况。结果观察组与对照组患者平均年龄及性别构成比的差异无统计学意义(P>0.05),观察组手术时间平均为(53.7±13.4)min、术中失血量平均(38.7±10.4)ml,术后住院时间(3.1±1.3)d,而对照组手术时间平均为(67.5±10.0)min、术中失血量平均(103.6±22.1)ml,术后住院时间(6.8±2.2)d,手术时间、术中失血量、术后住院时间在二组间的差异均有统计学意义(P<0.001)。观察组患者术后未发生并发症,对照组患者术后发生失血过多1例,继发感染1例,并发症发生率为3.70%,但二组患者并发症发生率的差异无统计学意义(χ2=4.307,P=0.116)。结论腹腔镜下输尿管上段切开取石术治疗输尿管结石与传统开放式手术相比,具有较为明显的优势。
Objective To evaluate the clinical effect of laparoscopic ureteral calculi in the treatment of ureteral calculi. METHODS: From April 2010 to December 2012, 47 patients undergoing laparoscopic ureteral surgery in urology from April 2010 to December 2012 in our hospital were selected as the observation group. At the same time, we selected the traditional open surgery ureterotomy Thirty-two patients were taken as control group. The general demographic characteristics (mean age, sex), operation time, intraoperative blood loss, postoperative hospital stay and postoperative complications were compared between the two groups. Results There was no significant difference in mean age and sex ratio between the observation group and the control group (P> 0.05). The average operation time in the observation group was (53.7 ± 13.4) min, mean blood loss was (38.7 ± 10.4) ml, The postoperative hospital stay was (3.1 ± 1.3) d, while the control group had an average operation time of (67.5 ± 10.0) min, mean blood loss during surgery (103.6 ± 22.1) ml, postoperative hospital stay (6.8 ± 2.2) days, , Intraoperative blood loss, postoperative hospital stay in the two groups were statistically significant differences (P <0.001). There was no postoperative complications in the observation group, 1 case of excessive blood loss in the control group, 1 case of secondary infection, and the complication rate was 3.70%. There was no significant difference in the incidence of complications among the two groups (χ2 = 4.307, P = 0.116). Conclusions Laparoscopic ureterolithotomy for the treatment of ureteral stones compared with the traditional open surgery, has obvious advantages.