1.Department of Urinary Surgery，the First Affiliated Hospital of Gannan Medical University，Ganzhou 341000，China；
2.Department of Urinary Surgery，People＇s Hospital of Xingguo County in Jiangxi Province，Xingguo 342400，China
Abstract：Objective To explore the factors of stone transferring and countermeasures in laparoscopic ureterolithotomy. Methods 403 patients with stones in the upper and middle parts of the ureter in our hospital from January 2006 to June 2016 were selected as research objects，their clinical data were retrospectively analyzed.The influence factors of stone transferring during laparoscopic operation in the patients with ureteral calculi were summarized.Results In 403 patientswith stones in the upper and middle parts of the ureter，there were 22 patients occurred with stone transferring. The stone diameter，degree of hydronephrosis，rough operation of ureter dissection，and whether or not to take corresponding precautionarymeasures after exposure of ureter located with the stoneswere risk influence factors of stone transferring in laparoscopic ureterolithotomy.Conclusion There are many factors of stone transferring in laparoscopic ureterolithotomy including the stone diameter，degree of hydronephrosis，rough operation of ureter dissection，and whether or not to take corresponding precautionarymeasures after exposure of ureter located with the stones.In clinic，precaution should be strengthened on these influence factors aiming at reducing the occurrence of stone transferring during surgery and increasing operative success rate.
钟辛;李正中;谢芳林;钟恩鹏. 腹腔镜输尿管切开取石术中结石移位因素分析及处理对策[J]. 中国当代医药, 2016, 23(27): 49-51.
ZHONG Xin;LIZheng-zhong;XIE Fang-lin;ZHONG En-peng. Factor analysis of stone transferring and countermeasures in laparoscopic ureterolithotom y. 中国当代医药, 2016, 23(27): 49-51.
Fang YQ，Qiu JG，Wang DJ，et al.Comparative study on ureteroscopic lithotripsy and Laparoscopic ureterolithotomy for treatment of unilateral upper ureteral stones［J］.Acta Cir Bras，2012，27（3）：266-270.
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