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目的探讨腹腔镜手术在治疗泌尿外科上尿路疾病中的临床效果。方法回顾分析我院在腹腔镜下对91例上尿路疾病患者手术的临床资料,其中经腹腔路径10例,腹膜后路径81例;肾上腺(肿瘤)切除术6例,单纯性肾切除术15例,根治性肾切除2例,输尿管上段切开取石术14例,肾盂成形术4例,肾囊肿去顶减压术50例,观察患者手术情况、治疗效果以及并发症情况。结果 91例患者均手术成功,手术时间0.5~4 h,平均1.5 h,术后住院天数2~10 d,平均5.5 d,第1例单纯性肾切除因术中出血过多,给予输红细胞2U,其余病例术后无严重并发症发生。结论腹腔镜手术应用于上尿路疾病临床疗效显著,手术时间短,患者损伤痛苦少,术后并发症少、恢复快,值得临床上推广使用。
Objective To investigate the clinical effect of laparoscopic surgery in the treatment of upper urinary tract diseases. Methods The clinical data of 91 cases of upper urinary tract diseases undergoing laparoscopy in our hospital were retrospectively analyzed. Among them, 10 cases were treated by intraperitoneal route, 81 cases were retroperitoneal route, 6 cases were treated by adrenalectomy, 6 cases were treated by simple nephrectomy For example, radical nephrectomy in 2 cases, upper ureteral incision and lithotomy in 14 cases, pyeloplasty in 4 cases, renal cyst debridement in 50 cases, observation of the patient’s operation, treatment and complications. Results All the 91 patients were operated successfully. The operation time was 0.5-4 h, with an average of 1.5 h. The length of postoperative hospital stay was 2 to 10 days (5.5 d on average). The first simple nephrectomy was due to excessive intraoperative bleeding. , The remaining cases no serious complications occurred. Conclusion Laparoscopic surgery in the clinical efficacy of the upper urinary tract disease was significant, the operation time is short, patients with less pain, less postoperative complications, rapid recovery, it is worth promoting the clinical use.