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目的探讨输尿管硬镜联合软镜治疗输尿管上段结石的临床效果。方法 60例输尿管上段结石患者,按照数字奇偶法分为对照组与治疗组,各30例。对照组采取输尿管硬镜下碎石治疗,治疗组则采取输尿管硬镜联合软镜治疗,观察两组治疗效果。结果全部患者均成功完成手术,治疗组患者的碎石时间、结石排净时间以及术后住院时间均明显短于对照组,差异具有统计学意义(P<0.05)。手术2周后,治疗组患者治疗总有效率为93.33%,明显高于对照组的73.33%,差异具有统计学意义(P<0.05)。治疗2周后,治疗组患者并发症总发生率为6.67%,明显低于对照组的33.33%,差异具有统计学意义(P<0.05)。对全部患者术后进行随访6个月发现,治疗组患者的复发率为3.33%(1/30),低于对照组的16.67%(5/30),但对比差异无统计学意义(P>0.05)。结论针对输尿管上段结石患者,对其采取输尿管硬镜联合软镜治疗,具有良好的微创性,同时,该方法治疗总有效率高,术后并发症少,半年复发率低,安全性高,具有较高的临床推广价值。
Objective To investigate the clinical effect of ureteroscopic combined with soft mirror in the treatment of upper ureteral calculi. Methods 60 cases of upper ureteral calculi patients were divided into control group and treatment group according to the digital parity method, each 30 cases. The control group was treated with ureteroscopic lithotripsy, the treatment group was treated with ureteroscopic combined with soft mirror, the treatment effect was observed in both groups. Results All the patients were successfully operated. The patients in the treatment group were significantly shorter than those in the control group in terms of gravel time, stone discharge time and postoperative hospital stay. The difference was statistically significant (P <0.05). After 2 weeks of operation, the total effective rate of the treatment group was 93.33%, which was significantly higher than that of the control group (73.33%), the difference was statistically significant (P <0.05). After 2 weeks of treatment, the total incidence of complications in the treatment group was 6.67%, which was significantly lower than that in the control group (33.33%), the difference was statistically significant (P <0.05). All patients were followed up for 6 months and found that the recurrence rate was 3.33% (1/30) in the treatment group and 16.67% (5/30) lower than that in the control group, but the difference was not statistically significant (P> 0.05). Conclusions For the patients with upper ureteral calculi, ureteral calculi combined with soft-mirror treatment has good minimally invasiveness. At the same time, the method has the advantages of high total effective rate, less postoperative complications, low recurrence rate in six months, high safety, Has a high clinical value of promotion.