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目的探讨改良腰部斜切口在输尿管上段切开取石术中的临床应用价值。方法选择2008年1月至2011年10月该院输尿管上段结石患者101例,采用传统腰部斜切口患者32例为传统组,采用腰部直切口手术患者26例为直切口组,采用改良腰部斜切口手术患者43例为改良组,比较3种手术方式的疗效。结果 3组患者手术时间、手术切口大小、失血量、下床活动时间、术后疼痛指数和结石移位比较,差异有统计学意义(P<0.05)。结论改良腰部斜切口手术治疗输尿管上段结石具有对患者损伤小、痛苦小、恢复快等优点。
Objective To investigate the clinical value of modified oblique incision in the upper ureteral incision lithotomy. Methods From January 2008 to October 2011, 101 patients with upper ureteral calculi in the hospital were selected. Thirty-two patients with traditional lumbar incision were selected as the traditional group. Twenty-six patients underwent direct incision of the lumbar region underwent straight incision. 43 cases of patients with surgery for the improvement group, the efficacy of three surgical methods. Results The operation time, the size of incision, the amount of blood loss, the time of bed ambulation, postoperative pain index and stone displacement in the three groups were significantly different (P <0.05). Conclusion Modified oblique incision in the treatment of upper ureteral calculi has the advantages of less damage to the patient, less pain and faster recovery.