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目的探讨后腹腔镜下输尿管切开取石术治疗输尿管结石。方法回顾2009年1月至2011年3月采取后腹腔镜下输尿管切开取石术治疗输尿管结石患者76例临床资料进行总结。结果 76例输尿管结石患者均顺利完成手术,术中出血约12～65ml,平均25ml;手术时间45～88min,平均手术时间52min,随访2～37个月,检查显示无输尿管狭窄,肾积水。结论后腹腔镜下输尿管切开取石术避免了开放手术的创伤,具有创伤小、恢复快、出血少、痛苦小、安全有效优点,并可同时处理肾脏其他并发症和疾病。
Objective To investigate retroperitoneoscopic ureterolithotomy for the treatment of ureteral calculi. Methods The clinical data of 76 patients with ureteral calculi underwent laparoscopic ureterolithotomy from January 2009 to March 2011 were retrospectively reviewed. Results 76 cases of ureteral calculi were successfully completed surgery, bleeding about 12 ~ 65ml, an average of 25ml; operation time 45 ~ 88min, the average operation time 52min, followed up for 2 to 37 months, the test showed no ureteral stricture, hydronephrosis. Conclusions Retroperitoneoscopic laparoscopic ureterolithotomy avoids the trauma of open surgery. It has the advantages of less trauma, faster recovery, less bleeding, less pain, safe and effective treatment, and can simultaneously treat other complications and diseases of the kidney.