CAJ | 학술논문

目的探讨后腹腔镜输尿管切开取石术治疗嵌顿性输尿管结石的临床价值和技术要点.方法 2006年12月至 2009年9月,对66例嵌顿性输尿管中上段结石采用后腹腔镜输尿管切开取石术,术中取石后于镜下直接置入双J管,以4-0 人工合成可吸收线(SAS)间段缝合输尿管切口. 结果 66例手术均获成功,无中转开放手术,结石清除率100%.术后创腔引流液量少,无一例发生尿漏.3～5 d拔除引流管,1周出院,术后3周膀胱镜下拔除双J管.随访1～33个月,平均16.3个月,超声复查显示肾积水明显好转或消失,无结石复发. 结论后腹腔镜输尿管切开取石术治疗嵌顿性输尿管结石具有创伤小,疗效好、术后恢复快等特点,明显优于开放手术及其他手术,值得推广应用.
목적 탐토후복강경수뇨관절개취석술치료감돈성수뇨관결석적림상개치화기술요점.방법 2006년12월지 2009년9월,대66례감돈성수뇨관중상단결석채용후복강경수뇨관절개취석술,술중취석후우경하직접치입쌍J관,이4-0 인공합성가흡수선(SAS)간단봉합수뇨관절구. 결과 66례수술균획성공,무중전개방수술,결석청제솔100%.술후창강인류액량소,무일례발생뇨루.3～5 d발제인류관,1주출원,술후3주방광경하발제쌍J관.수방1～33개월,평균16.3개월,초성복사현시신적수명현호전혹소실,무결석복발. 결론후복강경수뇨관절개취석술치료감돈성수뇨관결석구유창상소,료효호、술후회복쾌등특점,명현우우개방수술급기타수술,치득추엄응용.
Objective To summarize our experience and evaluate the outcome of retroperitoneal laparoscopic ureterolithotomy of the upper ureter impacted stone. Methods Between Dec 2006 and Sep 2009, 66 patients underwent retroperitoneal laparoscopic ureterolithotomy of the upper ureter. After removal of the stones, the double J was put in and interrupted suture was performed. Results Retroperitoneoscopic ureterolithotomy was successful in all patients, there was neither ureteral stricture nor recurrent calculus, the blood loss ranged from 5-10 ml, without urine leakage occurred. The mean hospital stay was 7 days. After 3 weeks double J was removed by cystoscopy. With 1-33 months follow-up, the hydronephrosis relieved and no recurrence of ureter calculus founded. Conclusion Retroperitoneoscopic ureterolithotomy is a safe and effective minimally invasive operation, and worth to generalization.