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目的探讨软性输尿管镜钬激光碎石术与后腹腔镜输尿管切开取石术治疗输尿管上段结石的疗效。方法选取60例单侧输尿管上段结石患者,根据手术方式不同分为软性输尿管镜组28例和后腹腔镜组32例,比较两组手术时间、术中出血量、单次清石率、最终清石率、手术成功率、术后并发症发生率、住院总时间及住院总费用。结果软性输尿管镜组手术时间、术中出血量、单次清石率、术后并发症发生率、住院总时间均少于后腹腔镜组(P<0.05),住院总费用多于后腹腔镜组(P<0.01)。结论软性输尿管镜钬激光碎石术与后腹腔镜输尿管切开取石术在治疗输尿管上段结石方面疗效确切,各有优缺点,应根据实际情况选择合适的术式。
Objective To investigate the efficacy of soft ureteroscopic holmium laser lithotripsy and laparoscopic ureterolithotomy for the treatment of upper ureteral calculi. Methods Sixty patients with unilateral ureteral calculi were enrolled. According to the different surgical methods, they were divided into soft ureteroscopy group (n = 28) and retroperitoneal laparoscopic group (n = 32). The operation time, intraoperative blood loss, The rate of clear stone, the success rate of surgery, the incidence of postoperative complications, the total length of hospital stay and the total cost of hospitalization. Results The operation time, intraoperative blood loss, single gravel rate, incidence of postoperative complications and total hospital stay in the soft ureteroscope group were less than those in the retroperitoneal laparoscopic group (P <0.05). The total cost of hospitalization was higher than that in the posterior abdominal cavity Mirror group (P <0.01). Conclusions Soft ureteroscopic holmium laser lithotripsy and retroperitoneal laparoscopic ureterolithotomy are effective in treating the upper ureteral calculi. Each has advantages and disadvantages and should be selected according to the actual situation.