| 后腹腔镜下输尿管切开取石术(附25例报告) |
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| 引用本文： | 张建忠,张军晖,闫勇,田溪泉,康宁,平浩,宋黎明,李建业,邢念增.后腹腔镜下输尿管切开取石术(附25例报告)[J].临床泌尿外科杂志,2008,23(5):357-359. |
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| 作者姓名： | 张建忠 张军晖 闫勇 田溪泉 康宁 平浩 宋黎明 李建业 邢念增 |
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| 作者单位： | 首都医科大学附属北京朝阳医院泌尿外科,北京,100020 |
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| 摘 要： | 目的:探讨后腹腔镜下输尿管切开取石术的技术要点及临床价值.方法:采用腹腔镜下腹膜后输尿管切开取石术25例,其中6例于术前行ESWL治疗失败;其余19为初次手术治疗.结石直径4～25 mm,平均14 mm.多数患者病程大于2个月,最长为10年.25例均缝合输尿管切口并放置双J管.结果:1例因结石退至肾盂后改为开放手术,其余24例手术均获成功;手术时问45～120 min,平均60 min;除1例发生漏尿,其余术后3～9天拔除腹膜后引流管,术后住院时间6～9天.随访2～13个月,无严重并发症出现.结论:后腹腔镜下输尿管切开取石术是安全有效的治疗输尿管上段结石的微创方法,适用于结石较大,病程较长或其他治疗方法失败者,可部分代替传统开放手术.
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| 关 键 词： | 腹腔镜 输尿管上段结石 |
Retroperitoneoscopic ureterolithotomy(The experience of 25 cases) |
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| ZHANG Jianzhong,ZHANG Junhui,YAN Yong,TIAN Xiquan,KANG Ning,PING Hao,SONG Liming,LI Jianye,XING Nianzeng.Retroperitoneoscopic ureterolithotomy(The experience of 25 cases)[J].Journal of Clinical Urology,2008,23(5):357-359. |
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| Authors: | ZHANG Jianzhong ZHANG Junhui YAN Yong TIAN Xiquan KANG Ning PING Hao SONG Liming LI Jianye XING Nianzeng |
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| Institution: | ZHANG Jianzhong1 ZHANG Junhui1 YAN Yong1 TIAN Xiquan1 KANG Ning1 PING Hao1 SONG Liming1 LI Jianye1 XING Nianzeng1 |
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| Abstract: | Objective: To investigate the technical detail of retroperitoneoscopic ureterolithotomy and evaluate its clinical effect.Methods:From November 2006 to December 2007, retroperitoneoscopic ureterolithotomy was carried out in 25 patients, 6 of whom were treated using this method as a salvage procedure after unsuccessful ESWL. The stone size ranged from 4~25 mm(mean 14 mm) with the incarceration time from 1 months to 10 years. Results:Retroperitoneoscopic ureterolithotomy was successful in 24 patients, with one... |
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| Keywords: | Laparoscopy Ureteral calculi |
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