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目的:探讨利用后腹腔镜技术行肾盂输尿管成形手术的同时,利用软镜一期行肾结石碎石和取石治疗肾盂输尿管连接部狭窄并发复杂肾结石的可行性。方法:利用后腹腔镜技术分离出肾盂,用软镜进入肾盂及肾盏,钬激光碎石和套石篮取石,再在后腹腔镜下行肾盂输尿管离断式成形术。结果:8例一期行后腹腔镜联合软镜行肾盂成形及肾结石碎石取石术,均获得成功。术后3个月复查,输尿管连接部通畅,结石取出完全。结论:后腹腔镜联合软镜一期行肾盂成形肾结石碎石取石术是创伤更小,安全、经济、可行的手术方式。
Objective: To explore the feasibility of using retroperitoneal laparoscopic ureteroplasty in the treatment of ureteropelvic plexus, while the use of soft-lens lithotripsy and lithotomy in the treatment of ureteropelvic junction stenosis with complicated nephrolithiasis feasibility. Methods: The renal pelvis was isolated by retroperitoneal laparoscopy. The renal pelvis and calyx were treated by soft mirror. Holmium laser lithotripsy and stone basket were taken. Laparoscopic ureteroplasty was performed. Results: All cases were successfully treated with retroperitoneal laparoscopy combined with soft-glass pyeloplasty and kidney stone lithotripsy in 8 cases. 3 months after the review, the ureter connection patency, remove stones completely. Conclusion: Retroperitoneal laparoscopy combined with one-stage pyeloplasty with renal pelvis lithotripsy is a less invasive, safe, economical and feasible surgical method.