CAJ | 학술논문

目的：探讨后腹腔镜输尿管切开取石术治疗困难输尿管中上段结石的临床疗效。方法将2011年3月至2014年2月平顶山煤业集团总医院治疗的114例输尿管中上段结石患者分为两组，每组57例。对照组行经皮肾输尿管镜取石术，观察组行后腹腔镜输尿管切开取石术治疗。比较两组治疗后的治疗效果。结果观察组术中出血量、术后下床活动时间、肠功能恢复时间、住院时间均明显少于对照组，差异有统计学意义（ P<0.01）。观察组不良反应发生率为5.26%，低于对照组（21.05%），差异有统计学意义（P<0.05）。结论腹腔镜输尿管切开取石术治疗困难的输尿管中上段结石的临床疗效显著，值得临床推广应用。
목적：탐토후복강경수뇨관절개취석술치료곤난수뇨관중상단결석적림상료효。방법장2011년3월지2014년2월평정산매업집단총의원치료적114례수뇨관중상단결석환자분위량조，매조57례。대조조행경피신수뇨관경취석술，관찰조행후복강경수뇨관절개취석술치료。비교량조치료후적치료효과。결과관찰조술중출혈량、술후하상활동시간、장공능회복시간、주원시간균명현소우대조조，차이유통계학의의（ P<0.01）。관찰조불량반응발생솔위5.26%，저우대조조（21.05%），차이유통계학의의（P<0.05）。결론복강경수뇨관절개취석술치료곤난적수뇨관중상단결석적림상료효현저，치득림상추엄응용。
Objective To investigate clinical efficacy of retroperitoneoscopic ureterolithotomy on refractory upper ureteral calculi. Methods The 114 patients with refractory upper ureteral calculi in our hospital from March 2011 to Feb-ruary 2014 were divided into the observation group( n=57 ), treated by retroperitoneoscopic ureterolithotomy and the control group( n=57 ),treated by percutaneous nephrolithotomy. After treatment,the therapeutic effects of two groups were compared. Results The intraoperative blood loss,postoperative bed time,bowel function recovery time and hospital stay of observation group were significantly less than those of the control group,there were significant differences(P<0. 01). The incidence of adverse reactions of observation group(5. 26%)was less than that of the control group(21. 05%)(P<0. 05). Conclusions The retroperitoneoscopic ureterolithotomy has significant clinical effect on refractory upper ureteral calculi.