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目的:分析拦截网篮配合输尿管镜钬激光术和经皮肾镜术治疗输尿管上段结石的手术效果及并发症。方法:采用N-trap拦截网篮配合输尿管镜钬激光和经皮肾镜共治疗92例输尿管上段结石患者。比较两组结石清除率、术后住院时间和并发症发生率等数据。结果:所有患者均耐受手术,无严重并发症发生。经皮肾镜组和输尿管镜组结石清除率分别为97.7%和93.8%,并发症发生率分别为15.6%和2.1%。结论:拦截网篮配合输尿管镜钬激光具有创伤小,恢复快等特点,而结石清除方面前者更适合位置低一点,直径小一些的结石。而经皮肾镜碎石术更适合位置较高的结石,但创伤较大,并发症发生率较高。
OBJECTIVE: To analyze the surgical effect and complication of interception basket combined with ureteroscopic holmium laser and percutaneous nephrolithotomy in the treatment of upper ureteral calculi. Methods: 92 cases of upper ureteral calculi were treated with N-trap interception basket combined with ureteroscopic holmium laser and percutaneous nephrolithotomy. The stone clearance rate, postoperative hospital stay and complication rate were compared between the two groups. Results: All patients were tolerant of surgery without serious complications. Percutaneous nephrolithotomy and ureteroscopy stone clearance rates were 97.7% and 93.8%, the complication rates were 15.6% and 2.1%. Conclusion: The mesh basket with ureteroscopic holmium laser has the advantages of less trauma and faster recovery, while the former is more suitable for stones with lower position and smaller diameter. Percutaneous nephrolithotripsy is more suitable for higher stones, but the trauma is larger and the complication rate is higher.