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目的探讨后腹腔镜下输尿管切开取石术(RLU)对改善复杂性输尿管上段结石者预后的影响。方法择取2011年12月至2014年12月接收的68例复杂性输尿管上段结石患者,随机分为两组(实验组、对照组),分别行RLU疗法、经皮肾镜取石术,行临床疗效观察。结果实验组与对照组术中输血率(0 vs 23.53%)、平均失血量[(85.24±20.12)m L vs(185.02±50.04)m L]、平均住院费用[(8700.14±42.25)元vs(9500.02±57.28)元]、平均住院时间[(6.24±2.56)d vs(8.83±3.20)d]、平均卧床时间[((2.24±1.13)d vs(4.74±2.54)d]、平均进流食时间[(1.18±0.44)d vs(2.47±0.49)d]、平均手术时间[(50.07±15.2)min vs(75.14±15.20)min]及术后继发大出血发生率(0 vs 14.70%)均低于对照组,且一次净石率(%:100.00 vs 73.53)显著高于对照组,差异有统计学意义(P<0.05)。结论 RLU疗法对改善复杂性输尿管上段结石者预后具有重要意义。
Objective To investigate the effect of retroperitoneal laparoscopic ureteral lithotomy (RLU) on the prognosis of complicated upper ureteral calculi. Methods Sixty-eight patients with complicated upper ureteral calculi received from December 2011 to December 2014 were randomly divided into two groups (experimental group and control group). Patients underwent RLU therapy and percutaneous nephrolithotomy respectively. Efficacy of observation. Results The blood transfusion rate (0 vs 23.53%), mean blood loss (85.24 ± 20.12 m L vs (185.02 ± 50.04) m L vs (8700.14 ± 42.25 m L vs (8700.14 ± 42.25) m vs 9500.02 ± 57.28), average hospital stay (6.24 ± 2.56) d vs (8.83 ± 3.20) d, mean bed-riding time (2.24 ± 1.13 d vs 4.74 ± 2.54 d, The average operative time [(50.07 ± 15.2) min vs (75.14 ± 15.20) min] and the rate of postoperative secondary hemorrhage (0 vs 14.70%) were all significantly lower in patients with chronic obstructive pulmonary disease (1.18 ± 0.44d vs 2.47 ± 0.49d) (%: 100.00 vs 73.53) in the control group was significantly higher than that in the control group (P <0.05) .Conclusion RLU therapy is of great significance to improve the prognosis of complex ureteral calculi.