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改良式经腹输尿管下段切开取石术
引用本文:李继冉,李洪位,姚家福. 改良式经腹输尿管下段切开取石术[J]. 泸州医学院学报, 1988, 0(1)
作者姓名:李继冉  李洪位  姚家福
作者单位:泸州医学院附属医院泌尿科,泸州医学院附属医院泌尿科,泸州医学院附属医院泌尿科
摘    要:采用经腹输尿管切开取石术治疗骼血管平面以下结石42例。为防止和减少术后腹膜炎及盆腔脓肿的发生,主张作宽基后腹膜舌瓣以复盖输尿管切口并建立良好的腹膜外引流通道。对如何预防尿液污染腹膜及输尿管术后狭窄的细节作了重点讨论。本组资料表明这一改进术式对盆段输尿管结石的治疗是安全有效的。

关 键 词:输尿管结石/外科手术

A MODIFIED TRANSPERITONEAL URETEROLITHOTOMY
Li Jiran et al. A MODIFIED TRANSPERITONEAL URETEROLITHOTOMY[J]. Journal of Luzhou Medical College, 1988, 0(1)
Authors:Li Jiran et al
Affiliation:Li Jiran et al Department of Surgery/Urology Affiliated Hospital of Luzhou Medical College
Abstract:We treated 42 patients with ureteral calculi below the iliac vessels by transperitoneal ureterolithotomy between 1979 and 1987; Using a broad peritoneal flap to cover the ureteral incision and make a tunnel for drainage of the exudate extraqeritoneally, the postoperative peritonitis and pelvic abscesses have been avoided, How to prevent the contamination of the peritoneum from a urine and avoid the stricture formation at the ureter following ureterolithotomy are discussed, We conclude that the modified transperitoneal ureterolithotomy for the patients with pelvic ureteral stones has been proved to be safe and dffective.
Keywords:Ureteral calculi/surg
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