中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2014年
24期
31-32,33
,共3页
后腹腔镜%输尿管软镜%输尿管上段结石%肾结石
後腹腔鏡%輸尿管軟鏡%輸尿管上段結石%腎結石
후복강경%수뇨관연경%수뇨관상단결석%신결석
Retroperitoneal laparoscopic%Flexible ureteroscope%Upper ureteral calculi%Kidney stone
目的：探讨后腹腔镜与输尿管软镜联合在输尿管上段结石和肾结石治疗中的应用分析。方法：采集笔者所在医院2012年1月-2013年1月收治的输尿管上段结石和肾结石病例共56例，按照随机数字表法分为对照组和治疗组，每组28例。对照组采用后输尿管软镜手术方法，治疗组在对照组基础上采用后腹腔镜与输尿管软镜联合手术治疗，观察两组临床效果。结果：手术后，56例患者结石均全部取出，同时自身不适症状均有明显缓解。治疗组手术出血量、手术时间、住院时间、引流管拔除时间、导管拔除时间、下床活动时间等方面均优于对照组，两组比较差异均有统计学意义(P<0.05)。结论：后腹腔镜与输尿管软镜联合在输尿管上段结石和肾结石治疗中效果较好，值得临床广泛应用。
目的：探討後腹腔鏡與輸尿管軟鏡聯閤在輸尿管上段結石和腎結石治療中的應用分析。方法：採集筆者所在醫院2012年1月-2013年1月收治的輸尿管上段結石和腎結石病例共56例，按照隨機數字錶法分為對照組和治療組，每組28例。對照組採用後輸尿管軟鏡手術方法，治療組在對照組基礎上採用後腹腔鏡與輸尿管軟鏡聯閤手術治療，觀察兩組臨床效果。結果：手術後，56例患者結石均全部取齣，同時自身不適癥狀均有明顯緩解。治療組手術齣血量、手術時間、住院時間、引流管拔除時間、導管拔除時間、下床活動時間等方麵均優于對照組，兩組比較差異均有統計學意義(P<0.05)。結論：後腹腔鏡與輸尿管軟鏡聯閤在輸尿管上段結石和腎結石治療中效果較好，值得臨床廣汎應用。
목적：탐토후복강경여수뇨관연경연합재수뇨관상단결석화신결석치료중적응용분석。방법：채집필자소재의원2012년1월-2013년1월수치적수뇨관상단결석화신결석병례공56례，안조수궤수자표법분위대조조화치료조，매조28례。대조조채용후수뇨관연경수술방법，치료조재대조조기출상채용후복강경여수뇨관연경연합수술치료，관찰량조림상효과。결과：수술후，56례환자결석균전부취출，동시자신불괄증상균유명현완해。치료조수술출혈량、수술시간、주원시간、인류관발제시간、도관발제시간、하상활동시간등방면균우우대조조，량조비교차이균유통계학의의(P<0.05)。결론：후복강경여수뇨관연경연합재수뇨관상단결석화신결석치료중효과교호，치득림상엄범응용。
Objective:To investigate application analysis of the retroperitoneal combined with flexible ureteroscope in the treatment of the upper ureteral calculi and renal calculi.Method:Fifty-six patients of the upper ureteral calculi and renal calculi in our hospital from January 2012 to January 2013 were divided into the treatment group and the control group,each group of 28 cases. The control group was adopted flexible ureteroscope operation method. The treatment group based on the use of laparoscopic and flexible ureteroscope combined with operation therapy. The clinical effect of the two groups were compared after treatment.Result:Fifty-six patients were removed out of stones,and their symptoms were significantly improved after operation. The amount of bleeding in operation,operation time,hospitalization time,drainage tube removal time,extubation time,ambulation time in the treatment group were better than the control group,and the differences between the two groups were all statistically significant(P<0.05).Conclusion:The effect of retroperitoneal laparoscopic combined with flexible ureteroscope in treatment of upper ureteral calculi and renal stones is good,which is worthy of clinical application.
