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目的:探讨后腹腔镜输尿管切开取石术的临床应用。方法:用后腹腔镜行输尿管切开取石64例。结果:64例患者中,60例(93.8%)手术成功取石,4例因放置双J管中致输尿管撕裂另行开放修补术,共取石84枚。手术时间70~150min,平均110.6士21.7min。出血量10~60ml,平均30.5士5.6ml,术后住院时间3~9d,平均6.4土1.2d,随访3~9个月,肾功能均有改善,未出现输尿管狭窄。结论:后腹腔镜输尿管切开取石术作为替代开放手术治疗输尿管中、上段结石,安全、有效、创伤较小,值得临床推广应用。
Objective: To investigate the clinical application of laparoscopic ureterolithotomy. Methods: Retroperitoneoscopic ureterotomy was performed in 64 cases. Results: Of the 64 patients, 60 (93.8%) successfully performed stone surgery and 4 had open ureteral tumescent repair because of placing double J tube. A total of 84 stones were obtained. The operation time was 70 ~ 150min, with an average of 110.6 ± 21.7min. Bleeding volume 10 ~ 60ml, an average of 30.5 ± 5.6ml, postoperative hospital stay of 3 ~ 9d, an average of 6.4 soil 1.2d, followed up for 3 to 9 months, renal function improved, there was no ureteral stricture. Conclusion: Retroperitoneal laparoscopic ureterolithotomy as an alternative to open surgery in the treatment of upper and lower ureteral stones, safe, effective, less traumatic, worthy of clinical application.