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目的比较改良的两孔法腹腔镜技术和常规法后腹腔镜输尿管切开取石术在输尿管切开取石术中的应用效果。方法对2006年3月~2007年12月行两孔法腹腔镜手术和常规腹腔镜手术的31例输尿管结石患者的临床资料进行分析,比较两组手术医生人数、手术时间、术中出血量、术中并发症、术后住院时间、术后并发症等。结果两组手术医生、手术时间比较差异有统计学意义(P<0.05),术中出血量、术中并发症、术后住院时间、术后并发症等差异无统计学意义(P>0.05)。结论两孔法腹腔镜手术可以单人操作,无需助手配合,自己掌握物镜方向,大大方便手术,提高效率,也可以使新开展腹腔镜手术医院的外科医生较快掌握腹腔镜技巧。
Objective To compare the improved two-hole laparoscopic technique and retroperitoneal laparoscopic ureterolithotomy in ureterolithotomy. Methods The clinical data of 31 patients with ureteral calculi underwent two-hole laparoscopic surgery and conventional laparoscopic surgery from March 2006 to December 2007 were analyzed. The number of operatives, operative time, intraoperative blood loss, Intraoperative complications, postoperative hospital stay, postoperative complications and so on. Results There was significant difference in operation time between the two groups of surgeons (P <0.05). There was no significant difference in intraoperative blood loss, intraoperative complications, postoperative hospital stay, postoperative complications, etc. (P> 0.05) . Conclusions The two-hole laparoscopic surgery can be performed by a single person without the help of an assistant. It can control the direction of the objective lens, greatly facilitate the operation and improve the efficiency, and can also enable the surgeon in the newly laparoscopic surgery hospital to acquire the laparoscopic skill quickly.