经后腹膜腔镜下行输尿管切开取石疗效观察

来源 :宁夏医学杂志 | 被引量 : 0次 | 上传用户:billguo
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
目的探讨后腹腔镜下输尿管切开取石治疗复杂性上尿路结石的技术特点和临床应用价值。方法对收治的20例复杂性上尿路结石(结石梗阻时间长,肾积水重,结石周围形成黏连包裹者)病人行后腹腔镜输尿管切开取石术,其中16例术前曾行体外震波碎石(ESWL)治疗。病程最长达3年,结石直径0.7-3.5cm。术中均放置双“J”管和后腹腔引流管。结果后腹腔镜下完成手术14例,中转开放手术6例。全部病例均治愈。后腹腔镜手术平均住院时间(9.4d)小于中转开放手术(16.3d),P<0.05。随访3-22个月,B超和(或)静脉肾盂造影(IVU)复查结石无复发,原有肾积水减轻或消失。结论后腹腔镜输尿管切开取石术具有创伤小,恢复快,住院时间短及结石复发率低的特点,可作为复杂性上尿路结石的首选术式。 Objective To investigate the technical characteristics and clinical value of retroperitoneoscopic ureterolithotomy in the treatment of complex upper urinary tract calculi. Methods Twenty patients with complicated upper urinary tract calculi (long stone obstruction, severe hydronephrosis, adhesions and entrapment around the stones) underwent laparoscopic ureterolithotomy, of whom 16 had preoperative and ex vitro Shock wave lithotripsy (ESWL) treatment. The course of up to 3 years, 0.7-3.5 cm diameter stones. Surgery are placed double “J ” tube and retroperitoneal drainage tube. Results Laparoscopic surgery completed in 14 cases, 6 cases of open surgery. All cases were cured. The average length of postoperative laparoscopic surgery (9.4 days) was shorter than that of open surgery (16.3 days), P <0.05. All the patients were followed up for 3-22 months. No recurrence was found in B-ultrasound and / or IVU. The original hydronephrosis was reduced or disappeared. Conclusions Retroperitoneal laparoscopic ureterolithotomy has the characteristics of small trauma, fast recovery, short hospital stay and low recurrence rate of stones, which can be used as the first choice for the complicated upper urinary tract calculi.
其他文献
近年来,普洱供电局以计量自动化系统建设和运用为依托,大力加强线损管理工作,截至201 5年底,实现全网274座厂站终端覆盖率100%,全网1.9万多台专变、接入集抄户表45万只,集抄
继前4年迅猛的增长之后,2015年,湖南省中央空调市场容量有所下滑,占全国总体容量的2.89%。在2015年中,湖南省整体容量依然集中在长沙市,以长沙为中心向周围辐射。湖南省发展
目的:探讨应用唇黏膜补片尿道成形术治疗复杂性前尿道狭窄的有效性。方法:2004年3月~2008年9月应用自体下唇黏膜补片行尿道成形术治疗复杂性前尿道狭窄27例。尿道狭窄长度为2.
Cell membranes play a key role in cellular activities.Fish erythrocytes,prototype of the nucleated erythrocytes of lower vertebrates,are predominantly oval,bico
Laminaria and Saccharina have recently been recognized as two independent clades from the former genus Laminaria. Traditional morphological taxonomy is being ch
Energy Daily,2015-10-05根据国际可再生能源机构(IRENA)2015年10月5日公布的一份报告显示,到2030年可再生能源将为非洲提供约1/4的电力需求,是目前水平的4倍多。IRENA在其“
蓝藻灭2型是蟹塘、鲍塘专用的杀藻剂,具有杀灭力强、高效安全、不伤水体的特点。一、功能经实际使用,该产品具有以下功能:1.属于非氧化型杀藻剂,杀藻速度快,杀藻力强,不受温
一、病情预测1.淡水鱼类:烂鳃病、肠炎病、细菌性败血病发生较多。易感品种主要为草鱼、鲤鱼、虹鳟、乌鳢、鲢鳙鱼。2.对虾:白斑综合征、红体病发生较多。重点关注中国对虾、
6月份,气温一般在20℃~30℃之间,养殖水温18℃~28℃,各种水生动物快速生长,病原活跃。随着水温升高及投入品的增加,残饵及代谢物增多,水质极易恶化。如遇雷雨、闷热天气,更易
《水生生物学报》是中国科学院水生生物研究所、中国海洋湖沼学会主办的水生生物学领域的综合性学术刊物,是中国科技核心期刊、中文核心期刊、中国科技论文统计源期刊,现任主