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目的探讨后腹腔镜下输尿管切开取石术治疗肾盂输尿管上段结石的临床疗效。方法将我院2010-2012年收治的57例肾盂输尿管上段结石患者随机分为研究组30例与对照组27例。研究组行后腹腔镜下输尿管切开取石术治疗,对照组采用传统开放性肾盂输尿管切开取石治疗。分析对比两组病患的临床资料。结果研究组手术均取得成功,并未出现中转开放手术的情况,其手术时间略微高于对照组,无统计学差异(P>0.05);研究组治疗效果及术后并发症上皆明显优于对照组,差异性显著(P<0.05);两组随访均未发现输尿管切口狭窄。结论采用后腹腔镜下行输尿管切开取石术治疗肾盂输尿管上段结石,创伤少、术后疼痛少及并发症少,值得临床推广应用。
Objective To investigate the clinical effect of laparoscopic ureterolithotomy in the treatment of upper ureteropelvic stones. Methods 57 cases of upper ureteral calculi treated in our hospital from 2010 to 2012 were randomly divided into study group 30 cases and control group 27 cases. The study group was treated by retroperitoneoscopic laparoscopic ureterolithotomy and the control group was treated by traditional open ureteropelvic lithotripsy. Analysis and comparison of two groups of patients clinical data. Results The operation of the study group was successful and no open surgery was performed. The operation time was slightly higher than that of the control group (P> 0.05). The treatment effect and postoperative complications of the study group were significantly better than those of the control group In the control group, the difference was significant (P <0.05). Ureteral stenosis was not found in both groups. Conclusions Retroperitoneoscopic laparoscopic ureterolithotomy for the treatment of upper ureteropelvic stones with less trauma, less postoperative pain and fewer complications is worthy of clinical application.
