腹腔镜经腹腔输尿管切开取石加肾折叠术治疗输尿管结石并重度肾积水
输尿管结石；肾盂积水；腹腔镜术；肾折叠手术,,输尿管结石；肾盂积水；腹腔镜术；肾折叠手术,【关键词】输尿管结石；肾盂积水；腹腔镜术；肾折叠手术,1资料与方法,2结果,3讨论,参考文献：
【摘要】 目的：总结腹腔镜下经腹输尿管切开取石加肾折叠术治疗输尿管结石并重度肾积水的经验。方法：用腹腔镜经腹输尿管切开取石加肾折叠术治疗输尿管结石并重度肾积水18例，患者平均33岁，结石直径5～28mm，2例伴肾下盏多发结石，结石3～8个。根据X线定位，切开后腹膜，暴露输尿管，用自制刀切开输尿管取出结石。于肾下极菲薄处切开，取出肾下极结石。置入双J管，缝合切口。随之行肾折叠术。结果：18例手术均获成功。随访3~8个月无并发症发生。结论：应用腹腔镜经腹输尿管切开取石加肾折叠术治疗输尿管结石并重度肾积水疗效好，患者痛苦小，值得推广。【关键词】 输尿管结石；肾盂积水；腹腔镜术；肾折叠手术
Endolaparoscopic ureterotomy and renal plication in the treatment of ureteral calculi with giant hydronephrosis
WANG Yilin，TIAN Kai，HAO Jianwei，et al.
Luohe Central Hospital,Luohe 462000,China
【Abstract】 Objective:To Summarize the experience of the new technique of endolaparoscopic ureterotomy and renal plication in the treatment of ureteral stone with giant hydronephrosis.Methods:Eighteen cases with ureteral stone and giant hydronephrosis were treated by endolaparoscopic ureterotomy.The average age of the patients was 34 years,and the size of the calculi was 528mm.Two cases accompanied many stones in the lower part and the number was 38.Cut the rear membrane of abdominal cavity according to the stone position on X ray,exposed the ureter,then cut the ureter by selfmade knife,and took the stone away.Cut the kidney at the thinnest part,took the stone away,put the double J tube in the ureter,and sutured the wound.Renal plication was performed soon after.Results:All the operations were sussessful and no complication occurred during a followup period of 38 months.Conclusions:Endolaparoscopic ureterotomy and renal plication in the treatment of ureteral stone with giant hydronephrosis is safe,effective and minimal invasive. ......
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