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目的探讨后腹腔镜下输尿管上段切开取石术(RLU)的方法及临床疗效。方法对68例输尿管上段结石患者,采用RLU 50例(A组),其中前期15例(A1组)、后期35例(A2组),开放手术18例(B组),比较三组患者的临床资料。结果所有病例手术全部成功。A组术中出血量、术后镇痛剂使用率、术后下床活动时间及术后住院时间均少于B组,但住院费用高于B组。A2组与B组间手术时间差异无统计学意义,但均明显少于A1组(P<0.01)。结论 RLU具有出血量少、疼痛轻、恢复快及住院时间短等优点,但费用高、早期手术时间长,随着操作技术的熟练,手术时间显著缩短,可达开放手术水平。
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更新时间：2015-05-19
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后腹腔镜下输尿管上段切开取石术治疗输尿管上段结石的临床研究
Clinical observation of retroperitoneal laparoscopic ureterolithotomy for upper ureteral calculi
微创医学 201303期 页码：270-273
作者机构：广西柳州市人民医院泌尿外科
基金信息：收稿日期: 2013-02-29
基金项目: 广西区卫生厅科研项目( 合同号: Z2010059)
- 中文简介
- 英文简介
- 参考文献
Objective To evaluate the method and clinical efficacy of retroperitoneoscopic ureterolithotomy( ＲLU) ． Method 50 patients with upper ureteral calculi were performed with ＲLU ( Group A，which included 15 early cases ( Group A1) and 35 late cases ( Group A2) ) ，and 18 patients with open operation( Group B) ． Clinical data of these three groups were compared． Ｒesults All cases were succeeded． Blood loss，postoperative analgesia rate，leaving bed time，and postoperative hospital stay were lower in Group A than in Group B，but treatment fee of Group A were higher than that of Group B． The operation time in Group A2 was much less than that in Group A1 and Group B( all P ＜ 0． 05) ． Conclusion ＲLU is superior to conventional surgery for less bleeding， less pain，faster recovery，and shorter hospitalization time，but with higher fee and long operation time in the early stage． With the operation technology skilled，operation time was significantly shortened，and equal to the level of open operation．
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