[1]敖劲松,汪波,邱承俊,等.输尿管镜与后腹腔镜手术治疗输尿管上段结石的疗效比较[J].中华腔镜泌尿外科杂志(电子版),2013,(04):289-291.
　AO Jing-song,WANG Bo,QIU Cheng-jun,et al.The observation of the effect of ureteroscopic lithotripsy (URL)and retroperitoneal laparoscopic ureterolithotomy (RLU) on unilateral upper ureteral stones[J].,2013,(04):289-291.
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输尿管镜与后腹腔镜手术治疗输尿管上段结石的疗效比较()
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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:
2013年04期
页码:
289-291
栏目:
出版日期:
1900-01-01

文章信息/Info

Title:
The observation of the effect of ureteroscopic lithotripsy (URL)and retroperitoneal laparoscopic ureterolithotomy (RLU) on unilateral upper ureteral stones
作者:
敖劲松; 汪波; 邱承俊; 江建国; 王丰; 程立; 周喻; 王昌忠
湖北省武汉市江夏区第一人民医院泌尿外科,430200
Author(s):
AO Jing-song; WANG Bo; QIU Cheng-jun; JIANG Jian-guo; WANG Feng; CHENG Li; ZHOU Yu; WANG Chang-zhong
关键词:
输尿管结石; 输尿管镜; 腹腔镜
摘要:
目的 探讨后腹腔镜输尿管切开取石术(RLU)和输尿管镜碎石取石术(URL)治疗单侧输尿管上段结石的临床疗效.方法 60 例单侧输尿管上段结石患者被随机分成两组,RLU 组予以气管全麻下后腹腔镜输尿管切开取石术,URL 组予以腰硬麻下输尿管镜钬激光碎石取石术,分析两组之间的手术时间、结石清除率、术后住院时间、术后镇痛泵使用时间,比较其临床疗效.结果 两组手术均取得成功,RLU 组平均手术时间(41.3±7.9)min,URL 组(49.2±9.8)min,RLU 组一次性清除率100%,URL 组83.3%.后腹腔镜组手术时间、结石一次清除率均优于输尿管镜组,两组术后随访3 个月以上,未见输尿管狭窄等并发症.结论 两种手术方式治疗单侧输尿管上段结石均有明显临床疗效,但后腹腔镜输尿管切开取石术具有一次手术结石清除率高、手术时间短等优点,值得推广应用.

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更新日期/Last Update: 1900-01-01