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目的:研究后腹腔镜行输尿管切开取石术的临床价值及经验总结。方法:回顾性分析2011年6月～2012年6月在我院接受治疗的50例输尿管结石患者(均为输尿管镜检失败者),分为2组,即26例后腹腔镜输尿管切开取石术(即腹腔镜组),24例开放性输尿管切开取石术(即开放手术组),比较两组患者的手术时间、出血量、术后恢复时间等指标。结果:与开放术组相比,腹腔镜组手术出血量、术后恢复时间、并发症等均显著减少(P<0.05),两组手术患者手术时间无显著性差异(P>0.05)。结论:后腹腔镜行输尿管切开取石术对患者造成的损伤小、恢复快,具有良好的临床应用价值,值得在临床上继续深入推广。
Objective: To study the clinical value and experience of retroperitoneal laparoscopic ureterolithotomy. Methods: A retrospective analysis of 50 patients with ureteral calculi who underwent ureteral calculi in our hospital from June 2011 to June 2012 (all of whom failed ureteroscopy) were divided into 2 groups: 26 patients underwent laparoscopic ureterolithotomy (Ie, laparoscopic group), 24 cases of open ureterolithotomy (open surgery group), the two groups of patients were compared operation time, bleeding, postoperative recovery time and other indicators. Results: Compared with the open surgery group, the amount of bleeding, postoperative recovery time and complications were significantly decreased in the laparoscopic group (P <0.05). There was no significant difference in operative time between the two groups (P> 0.05). Conclusion: Retroperitoneal laparoscopic ureterolithotomy has less damage to patients and faster recovery. It has a good clinical value and is worth further promotion in clinic.