目的：探讨经输尿管镜钬激光治疗输尿管结石的实用价值。方法将需手术治疗输尿管结石患者200名，术前随机分为两组：输尿管镜钬激光碎石术组（钬激光组）和输尿管切开取石术组（开放术组）。观察比较两组手术疗效、住院费用及患者满意度。结果钬激光组的手术时间、术中出血量、术后住院日、住院费用及并发症均少于开放术组，钬激光组的患者满意度高于开放术组。结论经输尿管肾镜钬激光碎石是治疗输尿管结石有效、安全的方法，较开放手术优秀。“,”Objective To evaluate the practical value of ureteroscopic holmium:YAG laser lithotripsy for managing ureteral calculi.Methods 200 patients who needed surgical treatment for ureteral calculi were randomly divided into two groups:holmium:YAG laser lithotripsy group (holmium laser group)and ureterolithotomy surgery group (open surgery group).We compared the ef ect,hospital costs and patients’satisfaction.Results Holmium laser group had less operative time,intraoperative blood loss,postoperative length of stay,costs and complications and moresatisfaction versus open surgery group.Conclusions Ureteroscopic holmimium:YAG laser lithotripsy is a highly ef ective and safe method for managing ureteral calculi and more excel ent than ureterolithotomy.