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腹腔镜下输尿管手术19例
引用本文:朱华,钱麟,郑兵,陆明,陈健刚,顾栋华,潘小东. 腹腔镜下输尿管手术19例[J]. 淮海医药, 2008, 26(4): 293-295
作者姓名:朱华  钱麟  郑兵  陆明  陈健刚  顾栋华  潘小东
作者单位:江苏省南通市第一人民医院,泌尿外科,226001
摘    要:目的探讨经腹腔镜行输尿管手术的临床疗效。方法对19例输尿管疾病患者采用经腹腔镜行输尿管手术,其中输尿管上段切开取结石术14例,肾盂输尿管成形术3例,输尿管下段整形膀胱再植术2例。结果19例手术均成功,术中出血量20—80ml,平均约45ml,术后住院时间4—12d,平均7d。所有患者随访2—6个月,静脉肾盂造影(IVU)或B超均提示肾积水明显改善,无输尿管狭窄。结论经腹腔镜输尿管手术具有创伤小、出血少、术后恢复快、住院时间短等特点,疗效肯定,值得临床推广。

关 键 词:输尿管疾病  腹腔镜  外科手术
文章编号:1008-7044(2008)04-0293-03
修稿时间:2008-01-17

Operation on ureter with laparoscopy (19 case reports attached)
ZHU Hua,QIAN Lin,ZHENG Bing,et al.. Operation on ureter with laparoscopy (19 case reports attached)[J]. Journal of Huaihai Medicine, 2008, 26(4): 293-295
Authors:ZHU Hua  QIAN Lin  ZHENG Bing  et al.
Affiliation:ZHU Hua, QIAN Lin, ZHENG Bing, et al. ( The Second Affiliated Hospital of Nantong University ,Jiangsu 226001, China )
Abstract:Objective To evaluate the clinical efficacy of ureteral operation with laparoscopy.Methods Nineteen patients with ureteral diseases were treated with laparoscopy.In these cases,14 cases underwent ureterolithotomy;3 cases,pyeloureteroplasty;2 cases,ureterovesical reimplantation.Results All the operations were successful.The intraoperative blood loss was 20-80ml(mean 45ml).And the postoperative hospitalization was 4-12days(mean 7d).No complications occurred during operation and the follow up period was 2-6 months in 19 cases.Conclusion The ureteral operation with laparoscopy has the advantages of minimal invasion,less blood loss and rapid postoperative rehabilitation.It is an effective and practical procedure.
Keywords:Ureteral disease  Laparoscopy  Surgical operation
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