CAJ | 학술논문

目的探讨后腹腔镜输尿管切开取石术治疗输尿管结石的安全有效性.方法 33例输尿管中上段结石均采用后腹腔镜下输管切开取石术.其中,26例有体外冲击波碎石(ESWL)或输尿管镜下碎石(URSL)治疗史,结石直径0.7～2.1 cm.结果 33例手术均成功,手术时间30～120 min,平均55 min;术中出血20～80 ml,平均40 ml;随访6～12 个月,肾积水减轻,无并发症.结论后腹腔镜下输尿管切开取石术是安全有效的微创技术,患者术后恢复快,尤其适合其他方法治疗失败的输尿管结石.
목적 탐토후복강경수뇨관절개취석술치료수뇨관결석적안전유효성.방법 33례수뇨관중상단결석균채용후복강경하수관절개취석술.기중,26례유체외충격파쇄석(ESWL)혹수뇨관경하쇄석(URSL)치료사,결석직경0.7～2.1 cm.결과 33례수술균성공,수술시간30～120 min,평균55 min;술중출혈20～80 ml,평균40 ml;수방6～12 개월,신적수감경,무병발증.결론 후복강경하수뇨관절개취석술시안전유효적미창기술,환자술후회복쾌,우기괄합기타방법치료실패적수뇨관결석.
Objective To discuss the efficacy and safety of retroperitoneal laparoscopic ureterolithotomy in treatment of ureteral calculi.Methods All 33 cases with upper or midst ureter calculi were treated by laparoscopic ureterolithotomy,ESWL or URSL ineffective for 26 cases.The diameters of calculi ranged from 0.7 to 2.1 cm.Results All the operations were successful.The operation time was 30～120 min with a mean of 55 min.The intraoperative bleeding volume Was 40 ml (20～80 ml) on average no complication Was observed duing the follow-up of 6～12 months.All the hydronephrosis Was alleviated.Conclusion Laparoscopic ureterolithotomy is suitable for ureteral calculi treated unsuccesfully by open surgery.It is effective,safety and miniinvasive.