后腹腔镜下输尿管切开取石术治疗肾盂输尿管上段结石的疗效观察

目的探讨后腹腔镜下输尿管切开取石术治疗肾盂输尿管上段结石的临床疗效。方法将我院2010-2012年收治的57例肾盂输尿管上段结石患者随机分为研究组30例与对照组27例。研究组行后腹腔镜下输尿管切开取石术治疗,对照组采用传统开放性肾盂输尿管切开取石治疗。分析对比两组病患的临床资料。结果研究组手术均取得成功,并未出现中转开放手术的情况,其手术时间略微高于对照组,无统计学差异（P〉0.05）;研究组治疗效果及术后并发症上皆明显优于对照组,差异性显著（P〈0.05）;两组随访均未发现输尿管切口狭窄。结论采用后腹腔镜下行输尿管切开取石术治疗肾盂输尿管上段结石,创伤少、术后疼痛少及并发症少,值得临床推广应用。

Observation of retroperitoneal laperoscopic ureterolithotomy for upper ureteral calculi

Objective Clinical effects of ureterolithotomy for the treatment of-renal pelvis and ureteral calculi after laparoscopic study. Methods Randomly divided into the study group（30 cases） and control group（27 cases）. Study group underwent retroperitoneal laparoscoplc ureterolithotomy for the treatment, and the control group used the traditional open ureterolithotomy for treatment of renal pelvis. The clinical data of two patients. Results The study group operation were successful, did not appear in the conversion to open operation, the operation time is slightly higher than that of the control group, there was no significant difference（P〉0.05）~ the study group in the treatment and postoperative complications are significantly better than the control group, the difference was statistically significant（P〈0.05）, meaning~ all did not discover ureter incision stenosis. Conclusion The renal pelvis and ureteral calculi patients, the retroperitoneal laparoscopic ureterolithotomy for the treatment, with less trauma, less postoperative pain and less complications, is worthy of clinical promotion and application.