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目的:总结我院2011年10月~2012年7月期间41例输尿管上段结石患者行输尿管镜钬激光碎石联合N-Trap结石捕获取出器(URL+结石网篮)在治疗中的疗效,探寻治疗输尿管上段结石更好的方法。方法:对比分析41例URL+结石网篮组(本组)和137例URL组(对照组)治疗输尿管上段结石的临床资料,与文献报道的URL、URL+结石网篮、(微通道)经皮肾镜取石术(mPCNL)等治疗方式的首次碎石成功率进行对比研究。结果:URL+结石网篮组首次碎石成功率与对照组比较,差异有统计学意义(P<0.05);并发症发生率、手术时间和术后住院时间等比较,差异无统计学意义(P>0.05)。结论:URL+结石网篮治疗输尿管上段结石患者的首次碎石成功率有显著的提高,是一种值得推广应用的治疗输尿管上段结石的有效方法。
OBJECTIVE: To summarize the curative effect of ureteroscopic holmium laser lithotripsy and N-Trap stone catcher (URL + stone mesh basket) in 41 patients with upper ureteral calculi in our hospital from October 2011 to July 2012, A better method of upper ureteral calculi. Methods: The clinical data of 41 cases treated with URL + stone net basket group (this group) and 137 cases with URL group (control group) were compared with the reported URL, URL + stone basket, (microchannel) percutaneous kidney Mirror lithotomy (mPCNL) and other treatment methods for the first time the success rate of gravel comparative study. Results: The success rate of first lithotripsy in URL + stone net basket group was statistically different from that in control group (P <0.05). There was no significant difference in the incidence of complications, operation time and postoperative hospital stay (P > 0.05). Conclusion: The success rate of first gravel stones in patients with upper ureteral stones treated with URL + stone basket is significantly improved, which is an effective method to treat upper ureteral calculi.