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目的总结腹腔镜下经腹输尿管切开取石加肾折叠术治疗输尿管结石并重度肾积水的经验。方法用腹腔镜经腹输尿管切开取石加肾折叠术治疗输尿管结石并重度肾积水18例,患者平均33岁,结石直径5~28 mm,2例伴肾下盏多发结石,结石3~8个。根据X线定位,切开后腹膜,暴露输尿管,用自制刀切开输尿管取出结石。于肾下极菲薄处切开,取出肾下极结石。置入双J管,缝合切口。随之行肾折叠术。结果18例手术均获成功。随访3~8个月无并发症发生。结论应用腹腔镜经腹输尿管切开取石加肾折叠术治疗输尿管结石并重度肾积水疗效好,患者痛苦小,值得推广。
OBJECTIVE: To summarize the experience of laparoscopic transabdominal ureterotomy plus renal folding in the treatment of ureteral calculi and severe hydronephrosis. Methods Laparoscopic transabdominal ureterolithotomy combined with kidney folding was performed in 18 cases of ureteral calculi and severe hydronephrosis. The average age was 33 years. The diameter of stones was 5-28 mm. Two cases had multiple lower calyx stones and stones of 3-8 A According to X-ray positioning, incision peritoneum, ureter exposure, with a homemade knife to open the ureter to remove stones. In the very subcutaneous very thin incision, remove the kidney under the stones. Into double J tube, suture incision. Followed by renal fold surgery. Results 18 cases of surgery were successful. Follow-up 3 to 8 months without complications. Conclusion The application of laparoscopic transabdominal ureterolithotomy combined with renal folding in the treatment of ureteral calculi and severe hydronephrosis good effect, the patient suffering is small, it is worth promoting.