CAJ | 학술논문

目的：探讨后腹膜路径下腹腔镜输尿管切开取石治疗输尿管上段结石的临床价值。方法：回顾性分析2008年1月~2014年1月采用后腹腔镜下输尿管切开取石术治疗116例输尿管上段结石患者的临床资料。结果：115例顺利完成手术,1例患者中转开放,均成功取石；手术时间50~105 mi n ,平均(76??3±28??5)mi n ,术中出血量25~90 ml ,平均(35??4±16??8) ml ,术后引流管留置时间5~8 d ,平均(5??7±1??1)d ,术后住院时间6~9 d ,平均(6??5±1??3)d ；术后随访1~70个月,平均(46??3±18??6)个月。患者患侧肾积水均有不同程度改善,无一例发生重大并发症。结论：后腹膜路径下腹腔镜输尿管切开取石术治疗输尿管上段结石疗效显著,具有创伤小、术后恢复快、并发症少及安全可靠等优点,值得基层医院推广。
목적：탐토후복막로경하복강경수뇨관절개취석치료수뇨관상단결석적림상개치。방법：회고성분석2008년1월~2014년1월채용후복강경하수뇨관절개취석술치료116례수뇨관상단결석환자적림상자료。결과：115례순리완성수술,1례환자중전개방,균성공취석；수술시간50~105 mi n ,평균(76??3±28??5)mi n ,술중출혈량25~90 ml ,평균(35??4±16??8) ml ,술후인류관류치시간5~8 d ,평균(5??7±1??1)d ,술후주원시간6~9 d ,평균(6??5±1??3)d ；술후수방1~70개월,평균(46??3±18??6)개월。환자환측신적수균유불동정도개선,무일례발생중대병발증。결론：후복막로경하복강경수뇨관절개취석술치료수뇨관상단결석료효현저,구유창상소、술후회복쾌、병발증소급안전가고등우점,치득기층의원추엄。
To-eval-uate-the-cli-nical-val-ue-of-retroperitoneal-laparoscopic-ureterolithoto-my-i-n-the-treat-ment-of-upper-ureteral-calcul-us-.Methods-:The-cli-nical-data-of-1-1-6-cases-of-upper-ureteral-calcul-us-treated-with-retro-peritoneal-laparoscopic-ureterolithoto-my-i-n-our-hospital-fro-m-January-2008-to-January-201-4-were-anal-ysed-retrospec-ti-vel-y-.Results-:Retroperitoneal-laparoscopic-ureterolithoto-my-was-perfor-med-successfull-y-on-1-1-5-patients-,and-onl-y-one-patient-was-conversed-to-the-open-operati-on-.The-average-operati-on-ti-me-was-(76??3-±28??5-)mi-n-,the-mean-bl-ood-l-oss-duri-ng-operati-on-was-(35??4-±1-6??8-)mL-,the-drai-nage-tube-place-ment-ti-me-was-(5??7-±1??1-)days-,and-the-post-operati-ve-hospital-stay-was-(6??5-±1??3-)days-.The-foll-o-w--up-ti-me-after-operati-on-was-1-70-months-.The-hydrone-phrosis-i-n-all-patients-was-alleviated-to-varyi-ng-degrees-and-no-seri-ous-co-mplicati-ons-occurred-.Conclusions-:The-cli-ni-cal-val-ue-of-retroperitoneal-laparoscopic-ureterolithoto-my-i-n-the-treat-ment-of-upper-ureteral-calcul-us-is-si-gnificant-,-with-advantages-of-s-mall-wound-,rapi-d-recovery-,less-co-mplicati-ons-,hi-gher-safety-and-reliability-.It-is-reco-mmended-to-practise-i-n-pri-mary-level-hospitals-.