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目的:评价输尿管上段结石患者经腹腹腔镜治疗的临床效果。方法:入选2015年3月至2016年3月的输尿管上段结石患者74例,按照随机的分配原则分成对照组与观察组,各37例。对照组采用输尿管镜钬激光治疗,观察组应用经腹腹腔镜治疗。比较两组的治疗后的结石清除率,手术时间,住院时间和术后并发症情况。结果:观察组的结石清除率为100%,对照组的结石清除率为75.7%,两组比较差异有统计学的意义(P<0.05)。观察组与对照组的手术时间和住院时间比较,差异没有统计学的意义(P>0.05)。观察组的并发症发生率为2.7%,明显少于对照组的并发症发生率18.9%,差异有统计学的意义(P<0.05)。结论:输尿管上段结石患者经腹腹腔镜治疗的临床效果较好,结石清除率,并发症发生较少,可在临床中推广应用。
Objective: To evaluate the clinical effect of transabdominal laparoscopic treatment of patients with upper ureteral calculi. Methods: Seventy-four patients with upper ureteral calculi were selected from March 2015 to March 2016. The patients were divided into control group and observation group according to the principle of random distribution, with 37 cases in each group. The control group was treated with ureteroscopic holmium laser and the observation group was treated with transabdominal laparoscopy. The stone clearance rate, operation time, hospitalization time and postoperative complications of the two groups were compared. Results: The stone clearance rate was 100% in the observation group and 75.7% in the control group. The difference between the two groups was statistically significant (P <0.05). There was no significant difference between the observation group and the control group in the operation time and hospitalization time (P> 0.05). The incidence of complication in the observation group was 2.7%, which was significantly lower than that in the control group (18.9%), the difference was statistically significant (P <0.05). Conclusion: The clinical results of abdominal laparoscopic treatment of upper ureteral calculi are good, and the rate of stone clearance and complication are few, so it can be widely applied in clinic.