CAJ | 학술논문

目的：比较单孔后腹腔镜和与标准后腹腔镜输尿管切开取石术的临床效果。方法将我院2014年1～11月收治的25例行单孔后腹腔镜输尿管切开取石术的患者列为观察组，另选同期同等数量行标准后腹腔镜输尿管切开取石术患者列为对照组，比较两组手术治疗效果。结果两组患者术中出血量、术后引流量、肠道恢复时间、拔管时间以及住院天数比较差异无统计学意义（P＞0.05）；观察组满意度和切口美容评分高于对照组，比较差异具有统计学意义（P＜0.05）。术后随访结果显示，两组均无严重并发症发生。结论后腹腔镜输尿管切开取石术是一种安全有效的手术方法，其中，单孔后腹腔镜的满意度和美容效果均高于标准后腹腔镜，更具有可行性。
목적：비교단공후복강경화여표준후복강경수뇨관절개취석술적림상효과。방법장아원2014년1～11월수치적25례행단공후복강경수뇨관절개취석술적환자렬위관찰조，령선동기동등수량행표준후복강경수뇨관절개취석술환자렬위대조조，비교량조수술치료효과。결과량조환자술중출혈량、술후인류량、장도회복시간、발관시간이급주원천수비교차이무통계학의의（P＞0.05）；관찰조만의도화절구미용평분고우대조조，비교차이구유통계학의의（P＜0.05）。술후수방결과현시，량조균무엄중병발증발생。결론후복강경수뇨관절개취석술시일충안전유효적수술방법，기중，단공후복강경적만의도화미용효과균고우표준후복강경，경구유가행성。
Objective To compare single-arch laparoscopic and standard later-laparoscopic ureter incision stone-taken clinical effect.Methods25 patients were classiifed as the observation group in January to November 2014 in our hospital, 25 patients with standard later-laparoscopic ureter incision stone-taken as control group, compare their treatment effect. ResultsTwo groups patients’ intraoperative blood loss, postoperative flow, intestinal recovery time,extubation time and hospitalization days hadn’t obvious difference (P>0.05), satisfaction and incision beauty scores of observation group was obviously higher than ones of control group and featured statistically differences (P<0.05). Postoperative follow-up, two groups were no serious complications occurred.Conclusion Later-laparoscopic ureteral incision stone-taken is a kind of safe and effective surgical method, satisfaction and cosmetic effect of single-arch laparoscopic are higher than ones of standard later-laparoscopic.