后腹腔镜输尿管切开取石术治疗输尿管结石效果分析.docVIP

后腹腔镜输尿管切开取石术治疗输尿管结石效果分析 　　[摘要]目的 观察后腹腔镜输尿管切开取石术治疗输尿管结石的效果。方法 选取我院2012年1月～2016年12月我院收治的64例输尿管上段结石患者，依据患者意愿选择手术方式分为对照组、观察组，各32例。对照组采取传统开放取石术治疗，观察组采用后腹腔镜输尿管切开取石术治疗。比较两组患者的相关临床指标、并发症发生情况。结果 观察组患者的手术时间为（60.23±1.15）min，短于对照组的（89.22±1.85）min（t=75.28，P0.05）；观察组患者的术中出血量为（30.35±1.54）ml，少于对照组的（110.96±1.5）ml（t=209.38，P0.05）；观察组患者术后下床时间为（1.71±0.13）d，短于对照组的（3.69±1.02）d（t=10.89，P0.05）；观察组患者的住院时间为（6.13±1.55）d，短于对照组的（8.89±1.74）d（t=6.70，P0.05）。观察组的总并发症发生率为3.13%，低于对照组的9.38%（χ2=4.27，P0.05）。结论 后腹腔镜输尿管切开取石术治疗输尿管上段结石的效果显著，安全性较高，值得推广。 　　[关键词]后腹腔?R输尿管切开取石术；输尿管结石；并发症 　　[中图分类号] R693+.4 [文献标识码] A [文章编号] 1674-4721（2017）12（a）-0065-03 　　[Abstract]Objective To observe the effect of retroperitoneal laparoscopic ureterolithotomy in the treatment of ureteral calculi.Methods From January 2012 to December 2016，64 patients suffering from upper ureteral calculi treated in our hospital were selected.According to patients′ will for various surgical modes，they were divided into the control group （n=32） and observation group （n=32）.The control group was treated with traditional open stone removal operation while the observation group was treated with retroperitoneal laparoscopic ureterolithotomy.The clinical related indexes and occurrence of complications were compared between the two groups.Results The operation time in the observation group was （60.23±1.15） min，and it was shorter than that in the control group （[89.22±1.85] min） （t=75.28，P0.05）.The intraoperative blood loss in the observation group was （30.35±1.54） ml，which was fewer than that in the control group （[110.96±1.5] ml） （t=209.38，P0.05）.The time to be off bed in the observation group was （1.71±0.13） d，which was shorter than that in the control group （[3.69±1.02] d） （t=10.89，P0.05）.The hospital stay of patients in the observation group was （6.13±1.55） d and it was shorter in comparison with that in the control group （[8.89±1.74] d） （t=6.70，P0.05）.The total incidence of complications in the observation group was 3.13%，and it was lower than t