后腹腔镜输尿管结石切开取石临床效果

【】　目的　探讨后腹腔镜输尿管切开取石的临床疗效和体会。　方法　对2005年1月-2009年12月收治的45例输尿管结石患者经后腹腔镜切开取石的临床资料进行回顾性分析。其中男27例，女18例；左侧20例，右侧25例；结石直径6～14mm。　结果　45例输尿管结石患者经后腹腔镜切开取石顺利，手术时间55～170min，平均（95.3±19.1）min，出血量20～60mL，平均45.3mL，住院时间4～8d，平均5.7d。术后无感染，随访12个月，未见复发。　结论　经后腹腔镜输尿管切开取石安全，有效，创伤小，术后恢复快。【Abstract】　Objective　Toinvestigatethetherapeuticeffectofretroperitoneallaparoscopicureterolithotomy.　Methods　FromJanuary2005toDecember2009,theclinicaldataof45patientswithureteralstoneundergoingretroperitoneallaparoscopicureterolithotomywereretrospectivelyanalyzed.Ofthe45patients,27weremalesand18werefemales,whoagerangedfrom31to59yearswithameanof(41.8±4.6)years.Twentypatientshadleftureteralstoneand25hadrightureteralstone.Thediameterofstonerangedfrom6to14mm.　Results　Alltheoperationsweresuccessfullyperformed.Theoperativedurationwas55-170minuteswithameanof(95.3±19.1)minutes.Theoperativebloodlosswas20-60mLwithameanof(45.3±12.4)mL.Thepostoperativehospitalizationwas4-8dayswithameanof5.7days.Nopostoperativeinfectionwasfound.　Conclusion　Retroperitoneallaparoscopicureterolithotomyissafe,effective,micro-invasiveandeasytorecoveryforureteralstone.