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目的:与直接行输尿管镜(URS)治疗输尿管上段结石进行比较,探讨ESWL失败后行输尿管镜补充治疗(ESWL-URS)的安全性。方法:我院2013年1月~2016年6月收治输尿管上段结石并行手术治疗的患者共160例,其中直接行URS手术的患者100例(URS组),ESWL-URS治疗的患者60例(ESWL-URS组)。比较两组患者的成功率、手术时间、术后发热、输尿管息肉情况。结果:URS组和ESWL-URS组的成功率分别为97.0%和88.3%,ESWL-URS组较URS组所需时间长,出现术后发热的情况(15.0%)明显多于URS组(5.0%),输尿管息肉也明显多于URS组,差异均有统计学意义(P<0.05)。结论:输尿管上段结石行ESWL失败的患者行URS补充手术较直接行URS手术风险更大、手术难度更高、术后发热更容易出现。
OBJECTIVE: To compare the safety of Ureteraloscopy (URS) with ureteral calculi (ESWL-URS) in the treatment of upper ureteral calculi. Methods: A total of 160 patients undergoing concurrent surgical treatment of upper ureteral calculi in our hospital from January 2013 to June 2016 were enrolled. Among them, 100 were treated with URS directly (URS group) and 60 were treated with ESWL-URS (ESWL -URS group). The success rate, operation time, postoperative fever and ureteral polyps were compared between the two groups. Results: The success rates of URS group and ESWL-URS group were 97.0% and 88.3% respectively. The time required for ESWL-URS group was longer than URS group (15.0%) than that of URS group (5.0% ), Ureteral polyps were also significantly more than the URS group, the differences were statistically significant (P <0.05). CONCLUSIONS: Patients with failed upper ureteral calculi undergoing ESWL have a greater risk of URS replacement surgery than direct URS surgery, and have a higher degree of surgical difficulty. Postoperative fever is more likely to occur.