[1]龚敏,周磐石,宋旭,等.后腹腔镜治疗上尿路结石的再探讨[J].中华腔镜泌尿外科杂志(电子版),2009,(05):389-382.
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后腹腔镜治疗上尿路结石的再探讨()
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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05期
页码:
389-382
栏目:
出版日期:
1900-01-01

文章信息/Info

Title:
Re-evaluation of the therapy for upper urinary tract calculi with retroperitoneal laparoscopic ureterolithotomy
作者:
龚敏; 周磐石; 宋旭; 王蓉; 张圣熙; 张耘; 黄锦阳
上海市第七人民医院泌尿外科,上海,200137
关键词:
后腹腔镜; 上尿路结石; 纤维胆道镜
摘要:
目的 探讨后腹腔镜治疗上尿路结石的临床应用价值、技术改良及相关问题的处理.方法 回顾性分析31例后腹腔镜上尿路切开取石的临床资料.男18例,女13例.平均年龄48岁..肾盂输尿管交界处结石7例,输尿管上段合并.肾盂、.肾盏多发结石7例,输尿管结石17例.其中,合并有输尿管炎症、狭窄、息肉等病变6例.结果 31例患者均取石成功,手术时间60～150 min,平均90 min;术中出血量20～50 ml,平均30 ml;术后有2例漏尿3 d;患者于4～5 d拔除后腹膜腔引流管;术后平均住院时间7～10 d.随访3～12个月,患者.肾输尿管积水均明显好转或消失,无结石复发,无.肾盂、输尿管缝合或吻合处狭窄.结论 后腹腔镜治疗上尿路结石是可行的,对上尿路其他相关病变可一并处理.同时,结合纤维胆道镜的应用可延伸后腹腔镜在泌尿系结石治疗中的适应证.

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更新日期/Last Update: 1900-01-01