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复杂性输尿管上段结石的治疗一直存在争论,常常由于结石嵌顿合并输尿管病变、息肉包裹及肾功能损害等原因,ESWL、URSL或经皮肾镜碎石术(percutaneous nephrolithotomy,PCNL)等治疗效果常不理想,部分甚至治疗失败。近年经后腹腔镜技术的发展使输尿管上段复杂性结石的治疗大大改善,但腔镜技术所要求的软硬件水平在基层难以普及。我院2010年1月～2011年1月采用URSL治疗复杂性输尿管上段结石145例。现报告如下。1资料与方法1.1一般资料
The treatment of complex upper ureteral calculi has been controversial, often due to stones incarcerated with ureteral lesions, polyps and kidney damage, etc., often ESWL, URSL or percutaneous nephrolithotomy (percutaneous nephrolithotomy PCNL) and other treatment often Not ideal, some even failed treatment. In recent years, the development of retroperitoneal laparoscopic techniques has greatly improved the treatment of complicated upper ureteral calculi, but the level of hardware and software required by endoscopic techniques is hard to be popularized at the grassroots level. Our hospital from January 2010 to January 2011 URSL treatment of complex upper ureteral calculi in 145 cases. The report is as follows. 1 Materials and Methods 1.1 General Information