目的 探讨嵌顿性输尿管上段结石后腹腔镜下输尿管切开取石术(retroperitoneal laparoscopic ureterectomy,RLUL)治疗的安全性和有效性。方法 选取武警安徽总队医院2017-10至2019-12收治的嵌顿性输尿管上段结石122例,随机分为研究组(62例)与对照组(60例)。研究组采取RLUL,对照组采取经皮肾镜取石术(percutaneous nephrolithotomy,PCNL)。比较两组围术期相关指标、清石率及并发症。结果 研究组术中出血量、手术时间、术后住院天数均少于对照组,差异有统计学意义(P<0.05);研究组的结石清除率为100.00%,明显高于对照组(83.33%),差异有统计学意义(P<0.05);研究组并发症发生率(4.83%) 明显低于对照组(15.00%),差异有统计学意义(P<0.05)。结论 RLUL治疗嵌顿性输尿管上段结石清除率高且创伤小、并发症少,值得临床推广应用。
Abstract
Objective To explore the safety and effectiveness of retroperitoneal laparoscopic ureterectomy (RLUL) in the treatment of incarcerated upper ureteral calculi. Methods A total of 122 patients with incarcerated upper ureteral calculi treated in our hospital between October 2017 and December 2019 were selected and randomly divided into the study group(n=62) and control group (n=60). The study group was treated with retroperitoneal laparoscopic ureterectomy (RLUL) while the control group underwent adopted percutaneous nephrolithotomy (PCNL). The related indicators, stone removal rate and incidence of complications were compared between the two groups during the perioperative period. Results Intraoperative blood loss, duration of surgery and length of hospital stay in the study group were lower or shorter than those of the control group, and the difference was statistically significant (P<0.05).The stone removal rate of the study group (100.00%) was significantly higher than that of the control group (83.33%) while the complication rate of the study group (4.83%) was significantly lower than that of the control group (15.00%). Conclusions RLUL is a safe and effective treatment for incarcerated upper ureteral calculi, with less trauma, higher stone removal rate, fewer complications, and quicker postoperative recovery.
关键词
输尿管上段结石 /
腹腔镜 /
输尿管切开
Key words
upper ureteral calculi /
retroperitoneal laparoscopy /
percutaneous nephroscope /
ureterectomy
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参考文献
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