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目的:探讨后腹腔镜联合输尿管软镜治疗输尿管上段结石和肾结石的临床意义。方法:采用后腹腔镜联合输尿管软镜切开取石术治疗输尿管上段结石和肾结石患者36例,结石直径0.8～3.2 cm,其中19例术前经ESWL治疗失败。结果:一次性清石成功率80.8%(29/36);手术时间70～200min,平均94 min;术后住院5～10天,无严重并发症发生。结论:后腹腔镜联合输尿管软镜治疗输尿管上段结石和肾结石安全、有效,有临床应用价值。
Objective: To investigate the clinical value of retroperitoneal laparoscopy combined with ureteroscope in the treatment of upper ureteral calculi and kidney stones. Methods: Thirty-six patients with upper ureteral stones and nephrolithotomy were treated by retroperitoneal laparoscopy combined with ureteroscopic open reduction lithotripsy. The diameter of stones was 0.8-3.2 cm. Among them, 19 patients underwent ESWL before surgery. Results: The success rate of one-off clear stones was 80.8% (29/36). The operation time was 70-200 minutes (average 94 minutes). The patients were hospitalized for 5-10 days without serious complications. Conclusion: Retroperitoneal laparoscopy combined with ureteroscopic treatment of upper ureteral calculi and kidney stones is safe, effective and has clinical value.