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目的探讨输尿管上段结石腔内碎石术的治疗效果以及术中输尿管损伤的预防,以供参考。方法 50例输尿管上段结石患者作为研究组,接受输尿管镜下腔内钬激光碎石治疗,并加强输尿管损伤预防,以同期接受保守治疗者50例作为对照组。对比两组在治疗效果、结石排净率、复发率和并发症等方面的差异性。结果研究组治疗效果较好,结石排净率较高,复发率低,跟对照组相比,差异有统计学意义(P<0.05)。研究组患者无输尿管损伤发生。结论输尿管上段结石腔内碎石术的治疗效果良好,可有效提高结石排净率,降低复发率,手术过程中细心操作,可以有效预防输尿管损伤。
Objective To investigate the treatment of upper ureteral calculi lithotripsy and intraoperative ureteral injury prevention for reference. Methods Fifty patients with upper ureteral calculi underwent ureteroscopic holmium laser lithotripsy and ureteral injury prevention. Fifty patients who received conservative treatment during the same period were selected as the control group. The difference between the two groups in the treatment effect, stone clearance rate, recurrence rate and complications were compared. Results The study group had better curative effect, higher rate of stone removal and lower recurrence rate, compared with the control group, the difference was statistically significant (P <0.05). Study group patients without ureteral injury occurred. Conclusions The treatment of upper ureteral calculi lithotripsy is effective, which can effectively improve the stone clearance rate and reduce the recurrence rate. Careful operation during the operation can effectively prevent ureteral injury.