摘要
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。
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.
出处
《系统医学》
2016年第7期60-61,64,共3页
Systems Medicine
