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目的:探讨后腹腔镜上段输尿管切开取石术的适应证、技术要点以及临床价值。方法:随机选取我院行后腹腔镜上段输尿管切开取石术的40名患者的临床资料进行分析,探讨后腹腔镜上段输尿管切开取石术的适应证、手术的要点以及临床应用价值。结果:40名患者均手术成功,结石清除率达到100%。术后平均住院时间为5 d。术后1个月随访,患者可拔出双J管,6个月后随访40名患者B超以及VIP检查证实患者肾、输尿管积水均明显好转,无并发症发生。结论:后腹腔镜上段输尿管切开取石术安全可靠,对患者的损伤较小,恢复快速,有效的缩短患者住院的时间,具有良好的临床应用价值。
Objective: To investigate the indications, technical points and clinical value of retroperitoneoscopic laparoscopic ureterotomy. Methods: The clinical data of 40 patients who underwent retroperitoneoscopic laparoscopic ureterotomy in our hospital were randomly selected to analyze the indications, operative points and clinical value of retroperitoneal laparoscopic ureterotomy. Results: All 40 patients were successfully operated and the stone clearance rate reached 100%. The average postoperative hospital stay was 5 days. One month follow-up, the patient could pull out double J tube. After 6 months follow-up of 40 patients with B-ultrasound and VIP examination confirmed kidney and ureter hydrocephalus were significantly improved without complications. Conclusions: The retroperitoneal laparoscopic ureterolithotomy is safe and reliable, with less damage to the patient, rapid recovery and shortened hospitalization time, which has a good clinical value.