后腹腔镜配合输尿管硬镜对肾结石疗效观察.docVIP

后腹腔镜配合输尿管硬镜对肾结石疗效观察 　　[摘要] 目的 探讨俯卧位经腰背部入路后腹腔镜配合输尿管硬镜治疗肾结石的效果及优势。 方法 选取2011年12月～2013年12月入住本院治疗肾结石的患者102例，将其随机分成治疗组及对照1、2组，每组各34例。治疗组采用俯卧位经腰背部入路后腹腔镜配合输尿管硬镜法取石，对照1组采用经皮肾镜取石术取石，对照2组采用常规侧卧位后腹腔镜肾盂切开法取石，比较3组的术中出血量、手术时间、住院时间、并发症及结石取尽率情况。 结果 治疗组的术中出血量、手术时间、住院时间、并发症发生率、结石取尽率分别为（83.4±16.2）ml、（101.3±9.7）min、（6.5±1.4）d、2.94%、100%，治疗组的术中出血量少于对照1、2组，手术、住院时间均短于对照1、2组，并发症发生率低于对照1、2组，结石取尽率高于对照1、2组（P0.05）。 结论 后腹腔镜配合输尿管硬镜治疗肾结石具有术中出血量少，手术、住院用时短，并发症少以及取石彻底等优势，值得临床推广应用。 　　[关键词] 肾结石；后腹腔镜；输尿管硬镜 　　[中图分类号] R692.4 [文献标识码] B [文章编号] 1674-4721（2014）04（b）-0189-03 　　[Abstract] Objective To explore the effect and advantage of prone position retroperitoneoscopy by the approach of lumbar spinal cord combined with rigid ureteroscopy in the treatment of kidney stone. Methods 102 patients with kidney stone who were hospitalized and treated in our hospital from December 2011 to December 2013 were selected and randomly divided into the treatment group （n=34），the control group 1 （n=34） and the control group 2 （n=34）.The treatment group received prone position retroperitoneoscopy by the approach of lumbar spinal cord combined with rigid ureteroscopy to remove the stones，the control group 1 received percutaneous nephrolithotripsy to remove the stones，the control group 2 received conventional lateral position retroperitoneoscopic pelvis incision to remove the stones，the intraoperative blood loss，surgical time，hospital stay，complications and depletion rate of stones of the three groups were compared. Results The intraoperative blood loss，surgical time，hospital stay，complications and depletion rate of stones of the treatment group was （83.4±16.2）ml，（101.3±9.7）min，（6.5±1.4）d，2.94%，100% respectively，intraoperative blood loss in the treatment group was fewer than that in the control group 1 and 2，surgical time，hospital stay of the treatment group was shorter than those in the control group 1 and 2，the incidence rate of complication in the treatment group was lower than that in the control group 1 and 2，depleti