李文亮河南能源鹤煤集团总医院泌尿外科，河南鹤壁　458000

后腹腔镜输尿管切开取石术与开腹手术治疗输尿管上段结石的效果对比

李文亮
河南能源鹤煤集团总医院泌尿外科，河南鹤壁458000

目的对比后腹腔镜输尿管切开取石术与开腹手术治疗输尿管上段结石的临床疗效。方法选取河南能源鹤煤集团总医院泌尿外科2012年2月—2015年10月期间收治的80例输尿管上段结石患者，根据其治疗方法将患者分为观察组（40例）和对照组（40例）。观察组采用后腹腔镜输尿管切开取石术进行治疗，对照组采用开放取石术进行治疗，对2组患者临床和治疗情况进行比较。结果2组患者结石1次清除率均为100%，观察组手术时间、术中出血量、住院时间均明显比对照组短，2组差异有统计学意义（P＜0.05）；观察组术后并发症发生率为5.0%，对照组术后并发症发生率为22.5%，2组差异有统计学意义（P＜0.05）。结论采用后腹腔镜输尿管切开取石术治疗输尿管上段结石，不仅临床效果显著，还能有效减少术后并发症，值得临床推广。

后腹腔镜；输尿管切开取石术；输尿管上段结石

［Abstract］Objective After comparing the clinical efficacy of laparoscopic ureteral stone surgery incision and laparotomy for upper ureteral calculi.Methods Energy Henan Hebi Coal Group General Hospital Urology February 2012-October 2015 were treated 80 cases of ureteral stones in patients during the previous paragraph，grouped according to their treatment，the observation group after laparoscopic ureter lithotomy treatment，control group with open lithotripsy treatment，the two groups of patients and clinical treatment were compared.Results The two groups were once stone clearance rate was 100%in the observation group operative time，blood loss，hospital stay were significantly shorter than the control group，two groups were significantly different（P＜0.05）；postoperative complications observed the rate was 5.0%，occurred in the control group postoperative complication rate was 22.5%，2 groups was significant（P＜0.05）. Conclusion Laparoscopic ureter lithotomy upper ureteral stones，not only significant clinical effect，but also effectively reduce postoperative complications，worthy of promotion.

［Key words］Laparoscopic；Ureter lithotomy；Ureteral calculi

输尿管结石是临床常见疾病，可导致患者出现肾积水、血尿等不良症状，对患者肾功能产生较大的影响，因此发现后要及时对其进行对症处理［1］。目前，治疗输尿管结石的主要方法为开放取石术和腹腔镜取石术。该研究选取河南能源鹤煤集团总医院泌尿外科2012年2月—2015年10月期间收治的80例输尿管上段结石患者进行说明，探讨后腹腔镜输尿管切开取石术的临床疗效，现报道如下。……