【摘要】 目的 探討后腹腔鏡輸尿管切開取石的臨床療效和體會。 方法 對2005年1月-2009年12月收治的45例輸尿管結石患者經后腹腔鏡切開取石的臨床資料進行回顧性分析。其中男27例，女18例；左側20例，右側25例；結石直徑6～14 mm。 結果 45例輸尿管結石患者經后腹腔鏡切開取石順利，手術時間55～170 min，平均（95.3±19.1） min，出血量20～60 mL，平均45.3 mL，住院時間4～8 d，平均5.7 d。術后無感染，隨訪12個月，未見復發。 結論 經后腹腔鏡輸尿管切開取石安全，有效，創傷小，術后恢復快。【Abstract】 Objective To investigate the therapeutic effect of retroperitoneal laparoscopic ureterolithotomy. Methods From January 2005 to December 2009, the clinical data of 45 patients with ureteral stone undergoing retroperitoneal laparoscopic ureterolithotomy were retrospectively analyzed. Of the 45 patients, 27 were males and 18 were females, who age ranged from 31 to 59 years with a mean of (41.8±4.6) years. Twenty patients had left ureteral stone and 25 had right ureteral stone. The diameter of stone ranged from 6 to 14 mm. Results All the operations were successfully performed. The operative duration was 55-170 minutes with a mean of (95.3±19.1) minutes. The operative blood loss was 20-60 mL with a mean of (45.3±12.4) mL. The postoperative hospitalization was 4-8 days with a mean of 5.7 days. No postoperative infection was found. Conclusion Retroperitoneal laparoscopic ureterolithotomy is safe, effective, micro-invasive and easy to recovery for ureteral stone.
摘要:目的:探討經腹腔鏡行輸尿管膀胱再植手術的臨床療效。 方法:對3例先天性巨輸尿管疾病患者采用經腹腔鏡行輸尿管下段整形膀胱移植術。結果:3例手術順利,均獲成功,術中出血量20～80 mL,術后吻合口或切口無漏尿,術后住院時間7～12 d。所有患者隨訪3～6個月,靜脈腎盂造影(IVU)或B超均提示造影劑通過良好,腎積水均得到明顯改善,輸尿管不擴張,無輸尿管吻合口狹窄。結論:經腹腔鏡輸尿管膀胱再植手術具有創傷小、出血少、術后恢復快、住院時間短等特點,療效肯定,值得臨床推廣。Abstract: Objective: To evaluate the clinical efficacy of transperitoneal laparoscopic ureterovesical reimplantation. Methods: Three patients who were diagnosed with simple congenital ureter outlet stricture,underwent transperitoneal laparoscopic ureterovesical reimplantation. Results: All the operations were successful. The intraoperative blood loss was 2080 mL (mean 45 mL). And the postoperative hospitalization was 712 day.No complications were occurred during operation and the follow up period for 36 months in 3 cases. 〖WTHZ〗Conclusion〖WTBZ〗: Transperitoneal laparoscopic ureterovesical reimplantation has the advantages of minimal invasion,less blood loss and rapid postoperative rehabilitation,which is an effective and practical procedure.
