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目的:评价后腹腔镜输尿管切开取石术治疗嵌顿性输尿管上段结石的有效性及安全性。方法:2003年9月～2008年6月采用后腹腔镜输尿管切开取石术治疗嵌顿性输尿管上段结石27例,对手术方法及并发症进行回顾性分析。结果:27例手术均获成功,平均手术时间(92.6±23.3)min,术后3天的结石清除率为100%(27/27),术后3天血红蛋白下降平均值(0.38±0.21)g/L。术后有1例(3.70%)出现38.5℃以上发热,1例(3.70%)出现漏尿。结论:后腹腔镜输尿管切开取石术治疗嵌顿性输尿管上段结石疗效满意,安全性较高。
Objective: To evaluate the effectiveness and safety of retroperitoneal laparoscopic ureterolithotomy in the treatment of upper ureteral calculi. Methods: From September 2003 to June 2008, 27 cases of upper ureteral calculi were treated by retroperitoneal laparoscopic ureterolithotomy. The operative methods and complications were analyzed retrospectively. Results: The operation was successful in 27 cases, with an average operation time of 92.6 ± 23.3 min. The stone clearance rate was 100% (27/27) 3 days after operation and 0.38 ± 0.21 g / L. One case (3.70%) had fever over 38.5 ℃ and one case (3.70%) had leakage of urine. Conclusion: Retroperitoneal laparoscopic ureterolithotomy for the treatment of incarcerated upper ureteral calculi is effective and safe.