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目的探讨后腹腔镜肾盂切开取石术治疗肾盂单发较大结石的临床效果。方法肾盂单发较大结石患者51例,均为肾外型肾盂,采用后腹腔镜肾盂切开取石术,分析手术各相关指标及并发症的发生情况。结果 51例均一期手术成功,无中转开放手术病例,平均手术时间为(139.24±34.21)min,平均出血量为(56.43±13.17)ml,无输血病例,结石清除率为100%,术后发热率为3.92%,术后平均住院日为(4.87±0.71)d,术后肾功能较术前差异无统计学意义(P>0.05)。结论对于良好选择的病例,后腹腔镜肾盂切开取石术具有出血少、结石清除率高、术后并发症少等优势,可作为肾盂单发较大结石的可选术式。
Objective To investigate the clinical effect of retroperitoneal laparoscopic pyelolithotomy for the treatment of larger single renal pelvis. Methods 51 patients with single large pyelonephrosis were treated by retroperitoneal pyelolithotomy and all the related indexes and complications were analyzed. Results All the 51 cases were treated successfully in one-phase operation. The average operation time was (139.24 ± 34.21) min and the average amount of bleeding was (56.43 ± 13.17) ml. There were no cases of transfusion, the rate of stone clearance was 100% The average postoperative hospital stay was (4.87 ± 0.71) d and the postoperative renal function was no significant difference (P> 0.05). Conclusions For a well-chosen case, retroperitoneal laparoscopic pyelolithotomy has the advantages of less bleeding, high rate of stone clearance and less postoperative complications, which can be used as an alternative procedure for larger pelvis of single pelvis.