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目的:探讨腹腔镜与开放输尿管切开取石术治疗输尿管结石的临床效果。方法:在医院2015年6月到2016年5月期间诊治的输尿管结石患者中抽取68例作研究对象,并按照其手术方式分组,腹腔镜组(n=34)采用腹腔镜下输尿管切开取石术,开放组(n=34)则采取开放输尿管切开取石术,对比两组患者额外镇痛药应用率、镇痛泵使用时间以及术后住院时间。结果:1腹腔镜组镇痛泵使用时间、术后住院时间均低于开放组(P<0.01);2腹腔镜组患者的额外镇痛药应用率是8.82%,低于开放组患者的32.35%(P<0.05)。结论:与开放输尿管切开取石术相比,腹腔镜下输尿管切开取石术用于输尿管结石临床治疗中更具优势,其可有效缓解患者术后疼痛感,并促进其早期痊愈。
Objective: To investigate the clinical effect of laparoscopic and open ureterolithotomy for ureteral calculi. Methods: A total of 68 patients with ureteral calculi diagnosed and treated during the period from June 2015 to May 2016 in our hospital were selected and divided into groups according to the operation method. Laparoscopic ureterolithotomy (n = 34) Patients in the open group (n = 34) underwent open ureterolithotomy. The rates of additional analgesics were compared between the two groups, and the duration of analgesia pump use and postoperative hospital stay were compared. Results: The duration of use and postoperative hospital stay of 1 analgesic pump in laparoscopic group were significantly lower than those in open group (P <0.01). The rate of additional analgesic in 2 laparoscopic group was 8.82%, which was lower than that in open group % (P <0.05). Conclusion: Compared with the open ureterolithotomy, laparoscopic ureterolithotomy is more advantageous for the clinical treatment of ureteral calculi, which can effectively relieve postoperative pain and promote early recovery.