输尿管切开术

Methods Thirty-eight patients with complex nephrolithiasis were treated with pneumatic ureteroscopic lithotripsy during pyelolithotomy, as well as lithotomy through ureteroscopy and pediatric cystoscopy.

对38例复杂性肾结石采用肾盂切开术中气压弹道碎石取石，输尿管镜、小儿膀胱镜取结石治疗。

The resection electrode types include: a hand-crafted, temperature-resistant tungsten wire-cutting loop; a coagulating perforated resector that provides a 40% greater coagulation zone than standard cutting loops and performs cutting and coagulation simultaneously during tissue resection; a dimpled vaporization roller that offers a smoother area of vaporization than a grooved roller while providing deep-tissue coagulation; a roller ball and roller barrel, which are used for coagulation and ablation of soft tissue in the bladder and prostate (the roller ball may also be used for endometrial ablation in the uterus); and a Collings knife that allows urologists access to all areas of the prostate and is most commonly used for ureteral meatotomy and transurethral incision of the prostate.

切除电极包括：手动操作、耐受高温、钨丝切除线圈；凝固穿孔前列腺切除器，比标准切除线圈的凝固面积大出40%，能够在组织切除过程中同时进行切除和凝固；一种漩涡汽化转子，比槽式转子提供更加平滑的汽化区域，同时产生深部组织凝固；一个转子球和转子滚筒，用于膀胱和前列腺软组织的凝固和汽化(转子球还可以用于子宫内膜的消融)；一个Collings刀能够帮助泌尿科医生进入前列腺的所有区域，通常用于输尿管切除术和经尿道前列腺切开。

ABSTRACT: Objective To investigate the clinical significance and methods of retroperitoneal laparoscopic ureterolithotomy.

目的 探讨后腹腔镜输尿管切开取石术的方法和临床价值。

Methods Retroperitoneal laparoscopic ureterolithotomy was performed on 31 patients of ureterolith, the stone size ranging from 0.8-2.5cm in diameter with the duration from 2 months to 3 years. Of the patients, 4 cases was of multiple stones and 27 with single stone, and 19 had undergone unsuccessful ESWL, ureteroscopy or both.

采用后腹腔镜技术行输尿管切开取石术31例，结石直径0.8-2.5cm，病程2个月-3年，4例多发结石，27例单发结石，其中19例曾行ESWL和/或输尿管镜失败。

Objective To evaluate the clinical effect and explore the major techniques of retroperitoneal laparoscopic ureterolithotomy.

目的 探讨后腹腔镜输尿管切开取石术的技术要点，评价微创手术方法治疗上段输尿管结石的临床价值。

Methods The clinical data of32patients who underwent retroperitoneal laparoscopic ureterolithotomy were reviewed and analysed.Double J stents were used in all cases.

回顾应用后腹腔镜行输尿管切开取石32例的临床资料，所有手术术中均留置双J管。

Methods The clinical data of32patients who underwent retroperitoneal laparoscopic ureterolithotomy were reviewed and analysed.

回顾 应用后腹腔镜行输尿管切开取石32例的临床资料，所有手术术中均留置双J管。

Conclousion Retroperitoneal laparoscopic ureterolithotomy has the advantages of minimal invasion, safe, effective and quicker recovery.

后腹腔镜输尿管切开取石术具有微创、安全有效、术后恢复快等优点，可部分替代传统开放手术，但应严格把握适应证。

Retroperitoneal laparoscopy ureterolithotomy is safe and effective with a rapid postoperative rehabilitation.

后腹腔镜输尿管切开取石术治疗输尿管上段结石安全、疗效确切，患者创伤小、恢复快。

Objectives: To guide the clinical practice, the paper is to investigate the treatment of advantage, disadvantage, and indication by improved retroperitoneal laparoscopic ureterolithotomy compared with open ureterolithotomy.

目的：本研究旨在通过组合应用改进的后腹腔镜输尿管切开取石术技术操作方法，将手术结果相关指标与开放手术进行对比，探讨后腹腔镜治疗输尿管结石的利弊及手术适应症，指导临床工作。

Do you know, i need you to come back

你知道吗，我需要你回来

Yang yinshu、Wang xiangsheng、Li decang,The first discovery of haemaphysalis conicinna.

1〕 杨银书，王祥生，李德昌。安徽省首次发现嗜群血蜱。