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目的探讨腹腔镜下输尿管切开取石术的临床意义和初步经验。方法2005年6月至2007年8月,我们采用经腹腹腔镜下行输尿管切开取石15例,结石位于左侧6例,右侧9例,输尿管上段结石11例,中段结石4例。结果本组15例均获成功,手术时间60~100 min,平均75 min。术中出血量30~100 ml,平均60 ml。术后住院5~7 d,平均6 d。术后均无漏尿发生,复查腹部平片(KUB)无结石残留。1月后门诊膀胱镜下取出双“J”管,经随访患者恢复良好。结论腹腔镜输尿管切开取石效果确切、损伤小、恢复快、有望替代传统的开放性输尿管切开取石手术。
Objective To investigate the clinical significance and preliminary experience of laparoscopic ureterolithotomy. Methods From June 2005 to August 2007, we performed 15 cases of laparoscopic ureterolithotomy, 6 cases on the left side, 9 cases on the right side, 11 cases of upper ureteral calculi and 4 cases of middle part. Results The group of 15 patients were successful, the operation time 60 ~ 100 min, an average of 75 min. Intraoperative bleeding 30 ~ 100 ml, an average of 60 ml. Postoperative hospital 5 ~ 7 d, an average of 6 d. No leakage after surgery, recheck abdominal plain film (KUB) no stone residue. After January outpatient cystoscopy removed double “J ” tube, after follow-up patients recovered well. Conclusions laparoscopic ureterolithotomy with definite effect, small injury, rapid recovery, is expected to replace the traditional open ureteral stone removal surgery.