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腹腔镜超声在经腹腔镜输尿管上段切开取石术中的应用
引用本文:王跃力,罗丁,刘齐贵,戚恩荣,熊德顺,窦堃,周庆余,陈训如.腹腔镜超声在经腹腔镜输尿管上段切开取石术中的应用[J].中华泌尿外科杂志,2003,24(4):255-256.
作者姓名:王跃力  罗丁  刘齐贵  戚恩荣  熊德顺  窦堃  周庆余  陈训如
作者单位:1. 650032,成都军区昆明总医院泌尿外科
2. 650032,成都军区昆明总医院腹腔镜中心
摘    要:目的 探讨腹腔镜超声(LUS)在腹腔镜输尿管上段切开取石术中的应用价值。方法 对7例输尿管上段结石患者在腹腔镜输尿管上段切开取石术中应用LUS对输尿管和结石定位。结果 7例LUS检查输尿管均显像,超声引导下顺利游离出输尿管;7例结石均获得准确定位,5例用无损伤钳顺利取出结石,2例按LUS定位切开输尿管后取出结石。LUS检查时间9-20min,平均14min。结论 LUS在腹腔镜输尿管上段切开取石术中有实际应用价值。

关 键 词:腹腔镜超声  经腹腔镜输尿管上段切开取石术  应用  输尿管结石
修稿时间:2002年8月31日

Laparoscopic ultrasonography assisted laparoscopic ureterlithotomy
WANG Yue-li,LUO Ding,LIU Qi-gui,et al..Laparoscopic ultrasonography assisted laparoscopic ureterlithotomy[J].Chinese Journal of Urology,2003,24(4):255-256.
Authors:WANG Yue-li  LUO Ding  LIU Qi-gui  
Institution:WANG Yue-li,LUO Ding,LIU Qi-gui,et al.Department of Urology,Kunming General Hospital,Chengdu Military Command,Kunming 650032,China
Abstract:ObjectiveTo evaluate the role of laparoscopic ultrasonography (LUS) in laparoscopic ureterolithotomy.MethodsLUS was utilized in laparoscopic ureterolithotomy for 7 cases of ureterolith to locate the ureter and stone.ResultsLUS demonstrated the relationship of the ureter to the adjacent structures and guided the dissection of the ureter in all the 7 patients and precisely localized the position of calculi.The stone could be touched by atraumatic clamps in 5 cases.LUS-demonstrated localizations of the ureter and calculi were verified on laparoscopic ureterotomy in the other 2.The mean operating time for LUS was 14 min (ranging from 9 to 20 min ).ConclusionsLUS is a real adjuvant means for locating the ureter and stone.
Keywords:Ureteral calculi  Peritoneoscopy  Ultrasonics
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