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目的观察经腹直肌旁切口治疗合并双侧髋关节功能障碍的输尿管中段结石临床疗效。方法回顾分析2009年10月~2013年12月我院10例合并双侧髋关节功能障碍的输尿管中段结石经腹直肌旁切口治疗的临床资料。结果结石取尽率100%,术后无结石残留、漏尿,肾功能恢复正常。术后3~6个月复查彩超、静脉肾盂造影,所有患者肾积水不同程度减轻,输尿管无狭窄。髋关节功能障碍无加重。结论经腹直肌旁切口是治疗输尿管中段结石一种有效方法,具有安全、对肌肉损伤小、疗效确切的优点,尤其对于合并双侧髋关节功能障碍的特殊患者,在体外震波碎石、输尿管镜碎石、经皮肾镜碎石较为困难时,是一种理想的选择。
Objective To observe the clinical efficacy of trans-abdominal rectus incision in the treatment of middle ureteral stones with bilateral hip dysfunction. Methods The clinical data of 10 middle ureteral calculi with bilateral hip dysfunction treated by rectus abdominis incision in 10 cases from October 2009 to December 2013 in our hospital were retrospectively analyzed. Results stone exhaustion rate of 100%, no residual stones, leakage of urine, renal function returned to normal. 3 to 6 months after the review ultrasound, intravenous pyelography, hydronephrosis in all patients to varying degrees, ureteral stricture. Hip dysfunction no aggravation. Conclusion The trans-abdominal rectus incision is an effective method for the treatment of middle ureteral calculi, which has the advantages of safety, less muscle damage and definite curative effect. Especially for the special patients with bilateral hip dysfunction, the extracorporeal shock wave lithotripsy, ureter Mirror gravel, percutaneous nephrolithotomy more difficult, is an ideal choice.