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目的:探讨经输尿管软镜与经皮肾镜碎石术治疗肾结石的临床疗效。方法将115例肾结石患者根据其意愿分为甲乙两组,甲组42例,予以输尿管软镜术治疗,乙组73例,予以经皮肾镜碎石术治疗,比较两组手术时间、术中出血量、清石率。结果甲组术中出血量显著少于乙组(P<0.01),但手术时间显著长于乙组(P<0.01)。甲组对直径≤20 mm及直径>20 mm肾结石的清石率分别为96.2%、87.5%,乙组分别为82.1%、91.2%,甲组对直径≤20 m m肾结石的清石率高于乙组,对直径>20 mm肾结石的清石率低于乙组,但差异无显著性(χ2=2.87、0.16, P>0.05)。结论肾结石直径≤20 m m者应选用输尿管软镜碎石术,肾结石直径>20 m m以及鹿角形结石应采用经皮肾镜碎石术,对于存在解剖结构异常、凝血功能异常、肾功能不全及穿刺困难者仍应该选用输尿管软镜碎石术。“,”Objective To explore the efficacy of flexible ureteroscopy lithotripsy (FUL) vs .percutaneous nephrolithotomy (PCNL) for kidney stone .Methods A total of 115 kidney stone patients were assigned to group A and B according to their wills ,group A (n=42) received FUL and B (n=73) did PCNL ,inter‐group operation times ,intraoperative amounts of bleeding and stone clearance rates were compared .Re‐sults Intraoperative amounts of bleeding were fewer (P0 .05) .Conclusion Patients with kidney stone ≤ 20mm should be treated with FUL and ones >20mm and stag‐horn calculi with PCNL .Patients with anatomical deformity ,coagulation disor‐ders ,renal insufficiency and puncture difficulty should still be treated with FUL .