經(jīng)尿道輸尿管鏡碎石術(shù)和后腹腔鏡輸尿管切開取石術(shù)的臨床分析.pdf

《經(jīng)尿道輸尿管鏡碎石術(shù)和后腹腔鏡輸尿管切開取石術(shù)的臨床分析.pdf》由會(huì)員上傳分享，免費(fèi)在線閱讀，更多相關(guān)內(nèi)容在應(yīng)用文檔-天天文庫。

1、·臨床研究·中國當(dāng)代醫(yī)藥2014年5月第21卷第13期經(jīng)尿道輸尿管鏡碎石術(shù)和后腹腔鏡輸尿管切開取石術(shù)的臨床分析石磊江西省武寧縣人民醫(yī)院泌尿外科，江西武寧332300【摘要】目的比較經(jīng)尿道輸尿管鏡碎石術(shù)和后腹腔鏡輸尿管切開取石術(shù)的臨床療效和應(yīng)用效果。方法選取本院2010年1月2012年12月收治的輸尿管上段結(jié)石患者80例，將所有患者隨機(jī)分為輸尿管鏡組和后腹腔鏡組，輸尿管組患者行經(jīng)尿道輸尿管鏡碎石術(shù)，后腹腔鏡組患者行后腹腔鏡輸尿管切開取石術(shù)，并對(duì)兩組的治療效果進(jìn)行比較。結(jié)果輸尿管鏡組在手術(shù)時(shí)間、術(shù)中出血量、術(shù)后下床活動(dòng)時(shí)間以及住院時(shí)間方面與后腹腔鏡組比較，差異有統(tǒng)計(jì)學(xué)意義(P

2、；后腹腔鏡組的手術(shù)成功率、一次性結(jié)石清除率明顯高于輸尿管鏡組，術(shù)后并發(fā)癥發(fā)生率明顯低于輸尿管鏡組(P

3、tripsyandretroperi·toneallaparoscopicureterolithotomySHILeiDepartmentofUrology，PeopleSHospitalofWuningCountyinJiangxiProvince，Wuning332300，China【Abstract1ObjectiveTocomparetheclinicaleficacyandapplicationeffectoftransurethralureteroscopiclithotripsyandretroperitoneallaparoscopicureterolithotomy

4、．Methods80patientswithupperureteralcalculitreatedinourhospi—talfromJanuary2010toDecember2012wereselectedanddividedintotheureteroscopegroupandtheretroperitonealgroup．Theureteroscopegroupwastreatedwithtransurethralureteroscopylithotripsy，andtheretroperitoneallaparoscopicgroupwastreatedwithretrope

5、ritoneallaparoscopicureterolithotomy．Thetreatmenteffectoftwogroupswascompared．ResultsComparedwiththeretroperitonealgroup，therewasastatisticaldifferenceoftheoperationtime，intraoperativebloodloss，ambulationtimeafteroperationandlengthofstayoftheretroperitoneallaparoscopicgroup(P

6、ateofoperation，disposablestoneclearanceoftheretroperitoneallaparoscopicgroupwashigherthanthoseintheureteroscopegroup，theincidencerateofpostoperativecomplicationoftheretroperitoneallaparoscopicgroupwasevi—dentlylowerthanthoseoftheureteroscopegroup(P

7、roscopylithotripsy，retroperitoneallaparoscopicureterolithotomyhasnoadvantageforoperationtime，intraoperativebleedingamountandlengthofstayafteroperation，butithasadvantagesforsuccessrateofoperation，disposablestoneclearanceandpostoper