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目的探讨后腹腔镜手术在泌尿外科疾病治疗中的应用及临床疗效。方法以2009年1月至2011年12月期间本院收治的56例泌尿外科疾病患者为研究对象,均给予后腹腔镜手术治疗,观察手术成功率、手术时间、术中出血量、有无中转开腹手术、术后并发症等情况,评价治疗效果。结果 56例患者,手术成功54例,成功率为96.43%,转开腹手术2例,平均手术时间为(75.36±15.61)min,平均出血量为(91.54±18.19)mL,发生腹膜穿孔2例,下肢静脉损伤1例,并发症发生率为5.56%(3/54)。结论后腹腔镜手术治疗泌尿外科疾病,具有术中出血少、并发症少、创伤小等优点,治疗效果显著,具有较高的临床应用价值。
Objective To investigate the application and clinical efficacy of retroperitoneal laparoscopic surgery in the treatment of urological diseases. Methods Fifty-six patients with urological diseases admitted to our hospital from January 2009 to December 2011 were enrolled in this study. All cases were treated by retroperitoneal laparoscopic surgery. The success rate of operation, operation time, blood loss during operation, Open surgery, postoperative complications, etc., evaluate the effect of treatment. Results In 56 cases, the successful operation was performed in 54 cases with a success rate of 96.43%. Two cases underwent laparotomy and the average operation time was (75.36 ± 15.61) min. The mean bleeding volume was (91.54 ± 18.19) mL. Peritoneal perforation occurred in 2 cases , 1 case of venous vein injury, complication rate was 5.56% (3/54). Conclusions Retroperitoneal laparoscopic surgery for urological diseases has the advantages of less intraoperative bleeding, less complications, less trauma and so on. The treatment effect is remarkable and has high clinical value.