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目的:探讨腹腔镜在治疗肾上腺、肾脏、输尿管、膀胱等泌尿系统疾病中的临床效果。方法:经腹腔及后腹腔2种途径对260例精索静脉曲张、肾上腺疾病、肾脏疾病、输尿管疾病、膀胱疾病患者实施腹腔镜手术。结果:260例中手术一次成功25l例(96.5%),中转开放手术9例,无输血,无严重并发症发生。随访1-24个月,临床症状消失,疗效满意。结论:后腹腔镜肾上腺瘤切除术、肾固定术、肾盂成形术、肾囊肿去顶减压术、肾盂或输尿管切开取石术及腹腔镜精索静脉高位结扎术具有创伤小、出血少、并发症少等优点,临床疗效可靠,实用性较强。
Objective: To investigate the clinical effect of laparoscopy in the treatment of adrenal, kidney, ureter, bladder and other urinary system diseases. Methods: 260 cases of varicocele, adrenal diseases, renal diseases, ureteral diseases and bladder diseases were treated by laparoscopy in two ways of abdominal cavity and retroperitoneal cavity. Results: Among the 260 cases, 25 cases (96.5%) were successful in one operation and 9 cases were transferred to open surgery without blood transfusion. No serious complications occurred. Follow-up 1-24 months, clinical symptoms disappear, the effect is satisfactory. Conclusions: Retroperitoneal laparoscopic adenomatous nephrectomy, nephrectomy, pyeloplasty, renal cyst decompression, renal pelvis or ureterolithotomy and laparoscopic varicocele ligation have the advantages of less trauma, less bleeding and complicated Less disease and other advantages, clinical efficacy and reliability, practicality.