摘要
目的 评价腹膜后腹腔镜输尿管切开取石术的临床价值。方法 2 0 0 1年 11月至 2 0 0 3年 4月完成腹膜后经腹腔镜输尿管中上段切开取石术 39例。其中男 2 3例 ,女 16例 ,年龄 2 6～ 6 6岁 ,平均 4 2 .3岁 ;结石大小 10～ 2 5mm ,平均 15mm。X线或B超标志定位 ,水囊扩张腹膜后间隙 ,形成腹膜后操作空间 ,暴露输尿管。于结石处用输尿管刀切开输尿管 ,取出结石 ,用自制的输尿管置管器经切口留置双J管 ,缝合切口。结果 手术均获成功 ,未发生严重并发症。手术时间 4 0～ 36 0min ,平均 130min。结论 腹腔镜取石术与开放手术相比 ,具有损伤小、痛苦少、恢复快的优点 ,随着技术的不断完善和普及 ,可大部取代常规的开放肾盂输尿管切开取石术。
Objective To evaluate clinical value of laparoscopic retroperitoneal ureterolithotomy. Methods From November 2001 to April 2003, laparoscopic retroperritoneal ureterolithotomy was performed in 39 patients (23 men,16 woman ) with an average age of 26～66 years (mean 42.3). The stone size ranged from 10 to 25 mm (mean 15). First, used x-ray or B-ultrasound to locate the stone. Then used a water bag to expand the space behind the peritoneum, thus exposed the ureter. Next, incised the ureter at the location of the stone and romoved it. After that, put a double-J tube via the incision with a self-made device to put tubes in the ureter and sutured the incision. Results The procedure had been successful in all with no serious complication. The operation time ranged from 40 to 360 minutes (mean 130 minutes). Conclusion Compared with open surgery, laparoscopic ureterlithotomy was less traumatic to patients, with less postoperative discomfort and quicker recovery. With its improvement and spread, it could be recommended as an alternative to open surgery.
出处
《现代泌尿外科杂志》
CAS
2004年第4期205-207,共3页
Journal of Modern Urology
