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目的评价后腹腔镜下输尿管切开取石术微创技术方法的临床价值。方法应用本院泌尿外科住院行后腹腔镜下输尿管切开取石术患者72例的临床资料进行系统性分析。结果所有患者手术成功,手术时间约50～200min,术中出血约15～70ml,平均约35ml,随访时间为3～30个月,术后复查肾积水及肾功能均明显好转,未发现输尿管狭窄等其他并发症。结论后腹腔镜下输尿管切开取石术具有微创小、疼痛轻、安全、术后康复快、副作用少等优点,可以作为替代体外冲击波碎石(ESWL)和输尿管镜下碎取石术及经皮肾镜碎取石术失败的一种微创手术方法。
Objective To evaluate the clinical value of laparoscopic ureterolithotomy with minimally invasive technique. Methods The clinical data of 72 patients undergoing laparoscopic ureterolithotomy in our urology hospital were analyzed systematically. Results All patients underwent surgery successfully. The operation time was about 50-200 min, the intraoperative bleeding was about 15-70 ml and the average was about 35 ml. The follow-up time was 3-30 months. The hydronephrosis and renal function were significantly improved after operation, and no ureter Stenosis and other complications. Conclusions Retroperitoneoscopic laparoscopic ureterolithotomy has the advantages of minimal invasiveness, light pain, safety, quick recovery after operation and few side effects. It can be used as an alternative to extracorporeal shock wave lithotripsy (ESWL) and ureteroscopic lithotripsy and percutaneous A minimally invasive surgical procedure for failure of nephrolithotomy.