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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。
Objective To investigate the clinical value of retroperitoneal laparoscopic ureteral calculi in the treatment of upper ureteral calculi. Methods The clinical data of the upper ureteral calculi treated with retroperitoneal laparoscopy in the past three years in our department were retrospectively analyzed and the related literatures at home and abroad were reviewed. Results 33 cases were successful, operation time 55 ~ 135 min. Intraoperative bleeding 25 ~ 40 ml, an average of 30 ml. 11 cases of postoperative leakage of urine 1 ~ 3 d. Postoperative 3 ~ 5 d after removal of the peritoneal drainage tube, postoperative hospital stay 3 ~ 7 d, followed up for 3 to 12 months. Patients with ureteral significantly improved hydrocephalus, no recurrence of stones and ureteral stricture. Conclusions Retroperitoneoscopic laparoscopic ureterolithotomy is safe and reliable, rapid recovery and low complication rate. It is a feasible minimally invasive surgery for upper ureteral calculi.