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目的观察输尿管镜下钬激光碎石术治疗输尿管上段结石的临床效果。方法选取输尿管上段结石患者84例,按随机数字表法分为两组,每组42例。对照组采用微创经皮肾镜取石术治疗,观察组给予输尿管镜下钬激光碎石术治疗,比较两组手术相关指标、手术成功率及并发症情况。结果与对照组比较,观察组住院时间及术后1 d疼痛评分较对照组明显减少,手术时间增加,差异有统计学意义(P<0.05);观察组术后7 d结石清除率明显降低,差异有统计学意义(P<0.05);两组患者术后1个月结石清除率、术后并发症发生率及手术成功率比较,差异未见统计学意义(P>0.05)。结论输尿管镜下钬激光碎石术可降低输尿管上段结石患者术后疼痛程度,且手术安全性较高,可促进患者术后快速恢复。
Objective To observe the clinical effect of ureteroscopic holmium laser lithotripsy in the treatment of upper ureteral calculi. Methods Totally 84 patients with upper ureteral calculi were divided into two groups according to the random number table method, with 42 cases in each group. The control group was treated with minimally invasive percutaneous nephrolithotomy, and the observation group was given ureteroscopic holmium laser lithotripsy. The operation related indexes, operation success rate and complication were compared between the two groups. Results Compared with the control group, the hospitalization time and pain score on the first day after operation in the observation group were significantly decreased compared with the control group, and the operation time was increased (P <0.05). The clearance rate of stone in the observation group decreased significantly on the 7th day after operation, (P <0.05). There was no significant difference between the two groups in the stone clearance rate, the incidence of postoperative complications and the success rate of surgery at one month after operation (P> 0.05). Conclusion Ureteroscopic holmium laser lithotripsy can reduce postoperative pain in patients with upper ureteral calculi, and the safety of surgery is high, which can promote rapid recovery after operation.