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目的比较后腹腔镜手术与传统开放手术治疗输尿管上段结石的临床效果,评价腹腔镜手术在治疗输尿管上段结石方面的疗效。方法回顾性分析39例行后腹腔镜下输尿管切开取石术(腹腔镜组)与36例行开放手术治疗输尿管切开取石术(开放组)患者的临床资料并进行比较。结果 75例手术均取石成功,腹腔镜组1例因输尿管炎症水肿粘连明显改行开放手术取石。腹腔镜组在术中出血量、术后下床时间、术后平均流质饮食时间、术后感染率、平均住院时间方面均显著优于开放组,而平均手术时间及平均住院总费用上高于开放组,差异均有统计学意义(P<0.05)。结论腹腔镜手术能有效治疗输尿管上段结石,且具有创伤小、恢复快等优点。
Objective To compare the clinical effects of retroperitoneoscopic laparoscopic surgery and traditional open surgery in the treatment of upper ureteral calculi and evaluate the efficacy of laparoscopic surgery in the treatment of upper ureteral calculi. Methods The clinical data of 39 patients undergoing laparoscopic ureterolithotomy (laparoscopic group) and 36 undergoing open surgery for ureteral stone removal (open group) were retrospectively analyzed and compared. Results 75 cases were successful in stone surgery, 1 case of laparoscopic group due to ureteral inflammation and adhesions significantly diverted open surgery stone. The laparoscopic group was significantly better than the open group in terms of blood loss, time to bed after surgery, average postnatal liquid food intake, postoperative infection rate and average length of stay, while the average operation time and average hospitalization cost were higher than Open group, the difference was statistically significant (P <0.05). Conclusion Laparoscopic surgery can effectively treat the upper ureteral calculi, and has the advantages of less trauma and faster recovery.