【摘要】　目的　 探討后腹腔鏡輸尿管切開取石的臨床療效和體會。　方法　 對2005年1月-2009年12月收治的45例輸尿管結石患者經后腹腔鏡切開取石的臨床資料進行回顧性分析。其中男27例，女18例；左側20例，右側25例；結石直徑6～14 mm。　結果　 45例輸尿管結石患者經后腹腔鏡切開取石順利，手術時間55～170 min，平均（95.3±19.1） min，出血量20～60 mL，平均45.3 mL，住院時間4～8 d，平均5.7 d。術后無感染，隨訪12個月，未見復發。　結論　 經后腹腔鏡輸尿管切開取石安全，有效，創傷小，術后恢復快。
【Abstract】　Objective　 To investigate the therapeutic effect of retroperitoneal laparoscopic ureterolithotomy.　Methods　 From January 2005 to December 2009, the clinical data of 45 patients with ureteral stone undergoing retroperitoneal laparoscopic ureterolithotomy were retrospectively analyzed. Of the 45 patients, 27 were males and 18 were females, who age ranged from 31 to 59 years with a mean of (41.8±4.6) years. Twenty patients had left ureteral stone and 25 had right ureteral stone. The diameter of stone ranged from 6 to 14 mm.　Results　 All the operations were successfully performed. The operative duration was 55-170 minutes with a mean of (95.3±19.1) minutes. The operative blood loss was 20-60 mL with a mean of (45.3±12.4) mL. The postoperative hospitalization was 4-8 days with a mean of 5.7 days. No postoperative infection was found.　Conclusion　 Retroperitoneal laparoscopic ureterolithotomy is safe, effective, micro-invasive and easy to recovery for ureteral stone.

引用本文： 魏大海. 后腹腔鏡輸尿管結石切開取石臨床效果. 華西醫學, 2011, 26(12): 1842-1843. doi: 復制