基层医学论坛
基層醫學論罈
기층의학론단
PUBLIC MEDICAL FORUM MAGAZINE
2013年
17期
2183-2184
,共2页
输尿管结石%后腹腔镜%寻找输尿管%方法
輸尿管結石%後腹腔鏡%尋找輸尿管%方法
수뇨관결석%후복강경%심조수뇨관%방법
Ureteral calculus%Retroperitoneal laparoscopic%Locate ureter%Methodology
目的探讨后腹腔镜输尿管切开取石术中快速寻找输尿管的方法。方法25例输尿管结石患者采用后腹腔镜技术行输尿管切开取石术,结石直径1.1 cm~3 cm,结石位于输尿管上段18例,位于输尿管中段7例。结果24例患者采用后腹腔镜技术手术取石成功,1例因寻找结石段输尿管失败改为开放手术切开取石治疗成功。手术时间70 min~120 min,平均90 min,术后均未出现漏尿、出血、感染等并发症。术后住院时间5 d~10 d,术后复查腹部平片(KUB)显示结石均完全清除,无残留。结论后腹腔镜输尿管切开取石术中根据具体情况,按照不同的方法寻找输尿管,能够迅速完成寻找输尿管的操作过程。
目的探討後腹腔鏡輸尿管切開取石術中快速尋找輸尿管的方法。方法25例輸尿管結石患者採用後腹腔鏡技術行輸尿管切開取石術,結石直徑1.1 cm~3 cm,結石位于輸尿管上段18例,位于輸尿管中段7例。結果24例患者採用後腹腔鏡技術手術取石成功,1例因尋找結石段輸尿管失敗改為開放手術切開取石治療成功。手術時間70 min~120 min,平均90 min,術後均未齣現漏尿、齣血、感染等併髮癥。術後住院時間5 d~10 d,術後複查腹部平片(KUB)顯示結石均完全清除,無殘留。結論後腹腔鏡輸尿管切開取石術中根據具體情況,按照不同的方法尋找輸尿管,能夠迅速完成尋找輸尿管的操作過程。
목적탐토후복강경수뇨관절개취석술중쾌속심조수뇨관적방법。방법25례수뇨관결석환자채용후복강경기술행수뇨관절개취석술,결석직경1.1 cm~3 cm,결석위우수뇨관상단18례,위우수뇨관중단7례。결과24례환자채용후복강경기술수술취석성공,1례인심조결석단수뇨관실패개위개방수술절개취석치료성공。수술시간70 min~120 min,평균90 min,술후균미출현루뇨、출혈、감염등병발증。술후주원시간5 d~10 d,술후복사복부평편(KUB)현시결석균완전청제,무잔류。결론후복강경수뇨관절개취석술중근거구체정황,안조불동적방법심조수뇨관,능구신속완성심조수뇨관적조작과정。
Objective To introduce some method and skill of how to locate ureter rapidly during the Retroperitoneal laparoscopic ureterolithotomy. Methods A total 25 cases of middle and upper ureteral calculi were treated with Retroperitoneal laparoscopic ureterolithotomy.18 cases of upper ureteral calculi,7 cases of middle ureteral calculi. Results The procedure was completed successfully in all the cases,except 1 case failed to locate the ureter,turn to open ureterolithotomy.The operation time 70~120 minutes,average 90 minutes.Postoperative examination prove no residual stone.Conclusion In the operation of Retroperitoneal laparoscopic ureterolithotomy,we should choose different method to locate the ureter in different cases.