目的:探讨后腹腔镜下输尿管切开取石治疗输尿管上段结石的技术要点和临床应用.方法:从本院完成后腹腔镜输尿管上段切开取石术69例,其中男性55例,女性14例,左侧40例,右侧29例.结石直径1.5 ～3.1（2.2±0.6）cm.结果:69例手术均获成功.手术时间40 ～295(63.1±19.8) min.术中出血量30 ～150(57.2±23.0) mL.术后住院时间5～8(6.7±1.3)d.随访3～24个月,无严重并发症发生.结论:后腹腔镜下输尿管切开取石术是治疗输尿管上段结石的安全有效的微创手术方法,可逐步取代传统的开放手术.%Objective To review the technical details of retroperitoneoscopic ureterolithotomy and evaluate the clinical effect. Methods Between June 2004 and December 2008, 69 patients (55 males and 14 females) with upper ureteral calculus received retroperitoneal laparoseopic ureterolithotomy (40 left sides and 29 right sides). The stone size ranged from 1.5 to 3.1 cm [(2.2± 0.6) cm]. Results All the patients underwent retroperitoneoscopic ureterolithotomy. The operation time was 40-295 (63.1 ±19.8) min,and the blood loss was 30-150 (57.2 ±23.0) mL. The hospital stay was 5-8 (6.7 ±1.3) d. During the followup, there was neither ureteral stricture nor recurrent calculus. Conclusion Retroperitoneoscopic ureterolithotomy is safe, effective and minimally invasive, which may replace the conventional open surgery.
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