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为评估经腹直肌外测缘直切口在输尿管上、中段取石术中的应用价值，报告经腹直肌外测缘直切口取石56例，结果除2例分离过程中出现腹膜损伤外，其余手术顺利，与同期经腰或腹部斜切口取石术进行比较，其平均手术时间、术后平均住院天数、术后切口痛，两者均有显著性差异（P＜0．05）。认为经腹直肌外测缘直切口具有组织损伤小、术后恢复决、无后遗切口痛等优点，是一种新的治疗输尿管上、中段结石的手术径路。
In order to evaluate the application value of straight incision beyond the rectus abdominis in the upper and middle ureterolithotomy, 56 cases were obtained through the straight incision outside the rectus abdominis. The results showed that in addition to the peritoneal injury in 2 cases, The operation was smooth and the mean operation time, postoperative average days of hospitalization and postoperative incision pain were significantly different from those of the other patients (P <0.05). It is considered that the straight incision beyond the rectus abdominis muscle has the advantages of small tissue damage, postoperative recovery, and no postoperative incision pain. It is a new surgical approach to treat the upper and middle ureteral calculi.