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hou fu qiang jing yu xiao qie kou zhi shi xia shu niao guan shang duan qie kai qu shi shu de lin chuang dui bi fen xi
Author(s): 
Pages: 51-53
Year: Issue:  14
Journal: Chinese Journal of Postgraduates of Medicine

Keyword:  输尿管结石腹腔镜剖腹术输尿管造口术;
Abstract: 目的 评价后腹腔镜与小切口直视下输尿管上段切开取石术的优越性及后腹腔镜输尿管上段切开取石术的技术要点.方法 回顾性分析采用后腹腔镜技术行输尿管上段切开取石术(后腹腔镜组)42例与小切口直视下行输尿管上段切开取石术(小切口组)35例患者的临床资料,并进行对比分析.结果 两组手术均全部成功.后腹腔镜组在术中出血量、术后肠功能恢复时间、术后下床活动时间、术后住院时间均少于小切口组,而手术时间和总住院费用高于小切口组,差异均有统计学意义(P<0.05或<0.01).后腹腔镜组术后发生皮下气肿5例,漏尿1例.小切口组有7例患者出现不同程度的切口处皮肤麻木或疼痛.随访1~49个月,两组均未发现输尿管狭窄等远期并发症,患者肾积水逐渐减轻或消失,肾功能逐渐改善或恢复.结论 后腹腔镜输尿管上段切开取石术疗效确切,创伤小,恢复快,而小切口直视下输尿管上段切开取石术更适合在基层医院广泛开展.
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