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目的:探讨后腹腔镜治疗输尿管结石的手术方法、疗效及临床应用价值。方法:2013年12月-2014年7月采用后腹腔镜治疗输尿管结石并肾积水患者30例,回顾分析其临床资料。结果:所有患者均成功施行了后腹腔镜输尿管切开取石术,无一例中转开放手术,无大血管、腹膜损伤等并发症,手术时间平均(85±20)min,术中出血量平均(20±5)m L。随访1~6个月均未发现结石复发和输尿管狭窄,肾积水明显减轻或消失。结论:后腹腔镜下输尿管切开取石术是治疗输尿管中上段结石的一种理想方法。
Objective: To investigate the surgical method, curative effect and clinical value of retroperitoneal laparoscopic ureteral calculi. Methods: From December 2013 to July 2014, 30 patients with ureteral calculi and hydronephrosis were treated by retroperitoneal laparoscopy. The clinical data were retrospectively analyzed. Results: All patients underwent retroperitoneal laparoscopic ureterolithotomy without any intervention of open surgery. No complications such as macrovascular injury and peritoneal injury were observed. The average operation time was (85 ± 20) min, the average amount of bleeding during operation was ± 5) m L Follow-up 1 to 6 months were no recurrence of stones and ureteral stricture, hydronephrosis significantly reduced or disappeared. Conclusions: Retroperitoneal laparoscopic ureterolithotomy is an ideal method for the treatment of upper ureteral calculi.