CAJ | 학술논문

目的：探讨后腹腔镜下输尿管切开取石治疗第4腰椎（L4）水平输尿管结石的临床效果。方法对赣州市人民医院2009年2月-2013年2月收治的32例 L4水平输尿管结石患者行后腹腔镜下输尿管切开取石术。其中男19例、女13例，左侧17例、右侧15例；年龄21~65岁，平均43.6岁。合并患侧肾轻度积水12例、中度积水9例、重度积水11例。结果32例均顺利完成手术，手术时间45~180 min，平均78.6 min；出血量10~60 ml，平均25 ml。术后1例发生漏尿，自行缓解。随访3~24个月，患侧肾积水消失或好转，无输尿管狭窄等并发症。结论后腹腔镜下输尿管切开取石可用于治疗 L4水平输尿管结石。
목적：탐토후복강경하수뇨관절개취석치료제4요추（L4）수평수뇨관결석적림상효과。방법대공주시인민의원2009년2월-2013년2월수치적32례 L4수평수뇨관결석환자행후복강경하수뇨관절개취석술。기중남19례、녀13례，좌측17례、우측15례；년령21~65세，평균43.6세。합병환측신경도적수12례、중도적수9례、중도적수11례。결과32례균순리완성수술，수술시간45~180 min，평균78.6 min；출혈량10~60 ml，평균25 ml。술후1례발생루뇨，자행완해。수방3~24개월，환측신적수소실혹호전，무수뇨관협착등병발증。결론후복강경하수뇨관절개취석가용우치료 L4수평수뇨관결석。
Objective To investigate the clinical effects of retroperitoneoscopic ureterolithotomy on ureteral calculi (UC)of the fourth lumbar( L4) level. Methods Thirty - two L4 UC patients were underwent retroperitoneoscopic uret-erolithotomy in th Ganzhou Affiliated Hospital from February 2009 to February 2013,there into 19 males,13 females,aged 21- 65 years,averagely 43. 6 years old;17 patients had left UC,15 had right;12 combined with mild dropsy in the affected side,9 had moderate,11 had severe. Results Thirty - two patients completed surgeries,the surgical time was 45 - 180 min, averagely 78. 6 min;the blood loss was 10 - 60 ml,averagely 25 ml. One patients had leakage of urine ,was spontaneous re-mission. The follow - up lasted 3 - 24 months. The hydronephrosis disappeared or improved without ureterostenoma and other complications. Conclusion Retroperitoneoscopic ureterolithotomy can treat L4 UC.