[1]赵杰.后腹腔镜肾盂输尿管切开取石术(附136例报告)[J].中华腔镜泌尿外科杂志(电子版),2009,(02):22-25.
 ZHAO Jie.Retroperitoneal laparoscopic pyelolithotomy and ureterolithotomy (report of 136 cases)[J].,2009,(02):22-25.
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后腹腔镜肾盂输尿管切开取石术(附136例报告)()
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中华腔镜泌尿外科杂志(电子版)[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2009年02期
页码:
22-25
栏目:
出版日期:
1900-01-01

文章信息/Info

Title:
Retroperitoneal laparoscopic pyelolithotomy and ureterolithotomy (report of 136 cases)
作者:
赵杰
河南省新乡市第一人民医院泌尿外科,453000
Author(s):
ZHAO Jie
关键词:
腹腔镜结石肾盂输尿管切开取石术
摘要:
目的 探讨腹膜后腹腔镜肾盂输尿管切开取石术的临床应用.方法 采用该术式手术治疗136例(152侧)肾盂输尿管结石患者,其中男性85例,女性51例.年龄24~53岁,平均36.8岁.结石位于肾盂27例、输尿管上段69例、中段40例.结石长径0.7~2.0 cm.病史1~96个月,平均34.6个月.术前均经常规检查确诊.比较了术前与术中放置双J管的利弊,总结了应用输尿管照明导管的经验,采用手套皮圈固定输尿管的方法 ,避免了结石的移动,用自行研制的腹腔镜专用手术刀切开输尿管.结果 136例中失败3例,其余133例(149侧)手术成功.手术时间30~240 min,平均55 min.术后住院时间5~14 d,平均7.8 d.随访2~146个月,无并发症发生.结论 该术式具有入路符合生理解剖特点,对腹腔干扰少、损伤小、痛苦轻、恢复快等优点,同时可以处理肾脏其他疾病且安全、有效.

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更新日期/Last Update: 1900-01-01