后腹腔镜下双J管置入新方法

目的探讨后腹腔镜下细钢丝双侧孔内置法双J管置入术的应用体会。方法回顾性分析该院2017年5月-2019年5月采用后腹腔镜下输尿管切开取石的32例患者的临床资料。19例为斑马导丝内置法双J管置入术(A组),13例为后腹腔镜下细钢丝双侧孔内置法双J管置入术(B组),比较两种方法的临床效果。结果所有患者均顺利在腔镜下完成手术,术后复查腹部平片双J管位置均良好。其中,A组双J管置入平均时间(16.32±6.04)min,B组双J管置入平均时间(4.77±1.80)min。结论后腹腔镜下细钢丝双侧孔内置法双J管置入术操作简单,效果良好,并可明显缩短手术时间,值得临床推广。

A new method of double J stent implantation in retro-laparoscopic surgery

Objective To explore the experience of double J stent placement with thin steel wire through tow side holes during retroperitoneoscope.Methods Retrospective analysis the clinical data of 32 cases with upper ureteral calculi who undwent retroperitoneal laparoscopic ureterolithotomy from May 2017 to May 2019.There were 19 cases which the double J stents were placed under the guidance of zebra wire(group A),and 13 cases which the double J stents were placed with thin steel wire through tow side holes(group B).The clinical effects of the two methods were compared.Results In all of these cases the double J stent placement were successful.The position of the double J stent was showed normal by the KUB after operation.In group A,the operation time was(16.32±6.04)min,and in group B,the operation time was(4.77±1.80)min.Conclusion This method of double J stents implantation during laparoscopic is simple,effective,and can significantly shorten the operation time,which is worthy of clinical promotion.