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目的探讨并对比输尿管上段结石病患实行微创经皮肾镜与输尿管镜的治疗效果。方法选取本院输尿管上段结石患者207例分为观察组105例,行微创经皮肾镜碎石外科术,对照组102例,行输尿管境碎石外科术,对比两组疗效。结果观察组结石清除率91.42%,对照组68.62%;观察组并发症发生率4.7%,对照组17.6%,组间比较差异有统计学意义P<0.05。结论两种外科治疗方式各具优势与缺点,实际治疗时应根据病患情况采取相应的手术方案,提高预后效果。
Objective To investigate and compare the therapeutic effect of minimally invasive percutaneous nephrolithotomy and ureteroscope in patients with upper ureteral calculi. Methods Totally 207 patients with upper ureteral calculi in our hospital were divided into observation group (n = 105), minimally invasive percutaneous nephrolithotomy (102 cases) and control group (n = 102) underwent ureteral lithotripsy. The curative effect was compared between the two groups. Results The stone clearance rate was 91.42% in the observation group and 68.62% in the control group. The complication rate in the observation group was 4.7% and that in the control group was 17.6%. There was significant difference between the two groups (P <0.05). Conclusion Both surgical approaches have their own advantages and disadvantages. The actual surgical treatment should be based on the patient’s situation to take the appropriate surgical options to improve the prognosis.