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目的评价后腹腔镜下肾盂、输尿管切开取石术的疗效、安全性,并总结治疗体会。方法施行后腹腔镜肾盂、输尿管切开取石术75例。其中,肾盂结石6例,输尿管上段结石66例,中段结石3例。结石直径1.2～3.5 cm。20例曾行体外冲击波碎石术(ESWL)失败,2例行输尿管镜气压弹道碎石术(URSL)失败。结果75例手术均获成功。手术时间45～180 min。术中、术后均未输血。术后恢复顺利,术后住院3～8 d。术后4～8周拔除患侧输尿管内双J管。结论后腹腔镜肾盂、输尿管切开取石术是一种安全、有效、微创的手术方法。
Objective To evaluate the efficacy and safety of retroperitoneal laparoscopic renal pelvis and ureterolithotomy and summarize the experience of treatment. Methods Laparoscopic renal pelvis and ureterolithotomy were performed in 75 cases. Among them, pelvis in 6 cases, upper ureteral stones in 66 cases, 3 cases of middle stone. Stone diameter of 1.2 ~ 3.5 cm. Twenty patients had failed extracorporeal shock wave lithotripsy (ESWL) and two failed ureteroscopic pneumatic lithotripsy (URSL). Results 75 cases were successful. Operation time 45 ~ 180 min. Intraoperative and postoperative blood transfusion. Postoperative recovery was good, postoperative hospital 3 to 8 days. After 4 to 8 weeks removal of ipsilateral ureteral double J tube. Conclusions Laparoscopic renal pelvis and ureterolithotomy is a safe, effective and minimally invasive surgical method.