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目的比较腹腔镜与传统开放输尿管切开取石术治疗输尿管结石的临床效果及其安全性。方法选取十堰市郧阳区人民医院太和郧阳分院2015年6月—2016年9月收治的输尿管结石患者116例,随机分为腹腔镜组与开放组,各58例。腹腔镜组予以腹腔镜取石术治疗,开放组予以传统开放输尿管切开取石术治疗,比较两组患者输尿管结石1次取石成功率、临床指标(出血量、肛门排气时间、下床活动时间、手术时间、住院时间、住院费用、术后引流时间、引流量)及并发症(血尿、尿瘘、伤口愈合不良等)发生情况。结果腹腔镜组患者输尿管结石1次取石成功率高于开放组,出血量、住院费用、引流量少于开放组,肛门排气时间、下床活动时间、手术时间、住院时间、术后引流时间短于开放组,并发症发生率低于开放组(P<0.05)。结论腹腔镜手术治疗输尿管结石的临床效果优于传统开放输尿管切开取石术,具有取石成功率高,治疗时间短,且并发症少等优势。
Objective To compare the clinical efficacy and safety of laparoscopic and traditional open ureterolithotomy in the treatment of ureteral calculi. Methods Totally 116 patients with ureteral calculi admitted to Taihe Yunyang Branch of People’s Hospital of Yunyang District in Shiyan City from June 2015 to September 2016 were randomly divided into laparoscopic group and open group, 58 cases each. The patients in laparoscopic group were treated by laparoscopic lithotripsy. The patients in open group were treated by traditional open ureterolithotomy, and the success rate of stone removal by ureteral stones in one group was compared with that in the other two groups. The clinical parameters (bleeding volume, anus discharge time, Operation time, hospital stay, hospitalization costs, postoperative drainage time, drainage) and complications (hematuria, urinary fistula, wound healing, etc.) occurred. Results The success rate of ureteral stone lithotripsy in laparoscopic group was higher than that in open group, bleeding volume, hospitalization cost, drainage less than open group, anal exhaust time, ambulation time, operation time, hospital stay, postoperative drainage time Shorter than the open group, the complication rate was lower than that of the open group (P <0.05). Conclusion The clinical effect of laparoscopic surgery for ureteral calculi is superior to the traditional open ureterolithotomy, which has the advantages of high success rate of stone taking, short treatment time and fewer complications.