后腹腔镜与开放手术行输尿管上段切开取石术的疗效比较（附62例报告）

目的比较和评价后腹腔镜与开放手术行输尿管上段切开取石术的临床价值。方法回顾性分析后腹腔镜输尿管上段切开取石术（腔镜组）及开放手术行输尿管上段切开取石术（开放组）的临床资料,就两组手术的手术时间、术中出血量、术后下床活动时间、术后住院时间、住院费用及术后并发症发生率进行比较。结果腔镜组术中出血量、术后下床活动时间、术后住院时间及术后并发症发生率优于开放手术组,差异有统计学意义（P〈0.05）;两组在手术时间、住院总费用方面的差异无统计学意义（P〉0.05）。结论后腹腔镜输尿管上段切开取石术损伤小、安全有效、恢复快,具有良好的临床应用前景。

Comparison between retroperitoneal laparoscopic ureterolithotomy for upper ureterai calculi

Objective To investigate the clinical effects of retroperitoneal laparoscopic ureterolithotomy and open ureterolithotomy for upper ureteral calculi.Methods The clinical data of 321 patients suffered from upper ureteral calculi from 2005.1 to 2008.8 underwent retroperitoneal laparoscopic ureterolithotomy or open ureterolithotomy were retrospectively analyzed.Duration time of operation,blood volume,duration time of out-of-bed activity,length of stay hospital,postoperative complications and cost of hospitalization were analyzed.Results Duration time of operation,out-of-bed activity,length of stay hospital in patients underwent retroperitoneal laparoscopic ureterolithotomy are significantly shorter with compared with open ureterolithotomy（P〈0.05）.Blood volume of patients underwent retroperitoneal laparoscopic ureterolithotomy is smaller with compared with open ureterolithotomy.The incidence of postoperative complications is significantly lower with compared with open ureterolithotomy（P〈0.05）.Cost of hospitalization of two groups is no significantly with different（P〈0.05）.Conclusion Retroperitoneal laparoscopic is less damage,safe and effective and promise prospect for upper ureteral calculi.