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[1]程文,高建平,张征宇,等.经后腹腔镜治疗输尿管上段结石的临床探讨(附33例报告)[J].医学研究与战创伤救治(原医学研究生学报),2010,12(06):484-486.
　CHENG Wen,GAO Jian-ping,ZHANG Zheng-yu,et al.Clinical investigation of laparoscopic treatment of ureteral calculi: report of 33 cases[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2010,12(06):484-486.
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经后腹腔镜治疗输尿管上段结石的临床探讨(附33例报告)()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第12卷
期数:
2010年06期
页码:
484-486
栏目:
出版日期:
2010-11-20

文章信息/Info

Title:
Clinical investigation of laparoscopic treatment of ureteral calculi: report of 33 cases
文章编号:
1672-271X(2010)06-0484-03
作者:
程文; 高建平; 张征宇; 葛京平; 马宏青; 周文泉; 魏武; 位志峰; 徐晓峰; 徐锋; 解鹏
210002 江苏南京，南京军区南京总医院泌尿外科
Author(s):
CHENG Wen; GAO Jian-ping; ZHANG Zheng-yu; GE Jing-ping;  MA Hong-qing; ZHOU Wen-quan; WEI Wu; WEI Zhi-feng; XU Xiao-feng; XU Feng; XIE Peng.
Department of Urology,Nanjing General Hospital of Nanjing Military Command,PLA,Nanjing,Jiangsu 210002, China
关键词:
输尿管上段结石; 后腹腔镜技术
Keywords:
upperureteral calculus; retroperitoneal laparoscopy
分类号:
R693+.4
DOI:
-
文献标志码:
A
摘要:
目的探讨后腹腔镜输尿管切开取石治疗输尿管上段结石的临床价值。方法回顾分析我科近3年来经后腹腔镜治疗输尿管上段结石的临床资料和复习国内外相关文献。结果33例均获成功，手术时间55~135 min。术中出血量25~40 ml，平均30 ml。术后11例漏尿1~3 d。术后3~5 d拔除后腹膜腔引流管，术后住院3~7 d，随访3~12个月。患者输尿管积水明显好转，无结石复发与输尿管狭窄发生。结论后腹腔镜输尿管切开取石术，安全可靠、恢复快、并发症发生率低，是治疗输尿管上段结石切实可行的微创手术。
Abstract:
ObjectiveTo explore the clinical significance of retroperitoneal laparoscopic ureterolithotomy.MethodsThe clinical data of transperitoneal laparoscopic ureterolithotomy of ureteral calculi operated at our department in the last 3 years were retrospectively analysed and related literature was reviewed as well. ResultsAll operations were successfully finished from 55 to 135 minutes. The volume of blood loss was 25 to 40 ml, and average volume was 30 ml. Leakage of urine occurred in 11 cases for 1-3 d. All patients removed of retroperitoneal cavity drainage postoperative in 3-5 d. Postoperative hospital stay was about 3-7 d. The patients were followed up for 3 to 12 months. The dilatation of ureter was improved apparently in all patients. No stone recurrence and complications of ureteral stricture was occurred in all patients. ConclusionRetroperitoneal laparoscopic ureterolithotomy is safe, reliable, rapid recovery and has low complication rate. Retroperitoneal laparoscopic ureterolithotomy is the minimally invasive technique for treatment of upper urinary tract calculi.

参考文献/References:

[1]Hruza M, Zuazu JR, Goezen AS， et al. Laparoscopic and open stone surgery[J].Arch Ital Urol Androl， 2010，82(1):64-71.
[2]丁新民，王炜，蒋国华，等.顺行与逆行输尿管镜术处理合并感染的输尿管上段结石比较[J]. 医学研究生学报，2009,22(6):620.
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[6]祖雄兵，张晓波，齐琳，等.后腹腔镜技术治疗输尿管结石的临床价值[J].中华泌尿外科杂志，2005，26(2):104-106.
[7]Nualong C, Tawccmonkongsap T. Laparoscopic urcterolithotomy for urctcric calculi[J].J Med Assoc Thai,1999,2(10):1028-1033.
[8]Hemal Ak,Goal A,Coel R. Minimally invasive retroperitoneoscopic urctcrolithotomy[J]. J Urol,2003,169(2):480-482.

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备注/Memo

备注/Memo:
江苏省“六大人才”高峰重点资助项目(2005A2)
更新日期/Last Update: 2010-11-20