论文部分内容阅读
目的探讨后腹腔镜输尿管切开取石术治疗输尿管结石的临床治疗效果。方法回顾性分析2011年10月至2012年1月入我院治疗的48例输尿管结石患者的临床资料,对其行后腹腔镜输尿管切开取石术后,统计和观察分析本组患者的临床治疗效果情况。结果 48例患者均取石成功,术后无感染,取得了较好的治疗效果:手术时间为40～100min、平均65min;术中出血量为20～60ml,平均35min;术后住院时间为3～12d,平均7d。肠功能在48h内均得到恢复;绝大多数患者于术后l～3d拔除负压引流管,仅有1例患者发生漏尿现象,于10d后(自然愈合)拔除负压引流管。导尿管于术后5d被拔除。术后1个月拔除双J管。随访6～10个月,未发生结石复发和其它并发症。结论治疗输尿管结石采用后腹腔镜输尿管切开取石术,具有术中创伤小、出血少、治疗时间短、痛苦小且安全有效的优点,是治疗输尿管结石理想的一种方法。
Objective To investigate the clinical effect of retroperitoneal laparoscopic ureterolithotomy for the treatment of ureteral calculi. Methods The clinical data of 48 cases of ureteral calculi treated in our hospital from October 2011 to January 2012 were analyzed retrospectively. After laparoscopic ureterolithotomy, the clinical data of the patients were analyzed statistically Effect of the situation. Results All the 48 patients had successful stone extraction without postoperative infection and achieved good therapeutic effect. The operative time was 40-100min with an average of 65min. The intraoperative blood loss was 20-60ml with an average of 35 minutes. The postoperative hospital stay was 3 ~ 12d, an average of 7d. Intestinal function were recovered within 48h; the vast majority of patients l ~ 3d after surgery to remove the negative drainage tube, only one case of leakage of urine occurred in patients, after 10d (natural healing) to remove the negative drainage tube. The catheter was removed 5 days after surgery. One month after the removal of double J tube. Follow-up 6 to 10 months, no recurrence of stones and other complications. Conclusion The treatment of ureteral calculi with retroperitoneal laparoscopic ureterolithotomy has the advantages of less trauma, less bleeding, shorter treatment time, less pain and safety and effectiveness, which is an ideal method for the treatment of ureteral calculi.