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目的:研究分析输尿管镜钬激光碎石取石治疗嵌顿性输尿管上段结石的治疗方法和治疗效果。方法:回顾性分析2010年1月-2011年12月期间,我院收治的80例嵌顿性输尿管上段结石患者的临床资料。按照治疗期间患者所接受得治疗方式不同,将80例患者随机分为两组:对照组40例,采用经皮肾取石治疗;观察组40例,采用输尿管镜钬激光碎石取石治疗。比较两组患者治疗后的结石清除情况和术后并发症的发生情况。结果:术后1天合术后3个月观察组患者的解释清除情况均明显优于对照组,两组比较差异明显,具有统计学意义,(P均<0.05),且术后观察组发生高热等并发症的发生率明显低于对照组,两组比较差异明显,具有统计学意义,(P<0.05)。结论:输尿管镜钬激光碎石取石治疗嵌顿性输尿管上段结石疗效显著,术后并发症少,是临床治疗嵌顿性输尿管上段结石的首选方法。
Objective: To study the treatment and treatment of ureteroscopic holmium laser lithotripsy in the treatment of upper ureteral calculi. Methods: The clinical data of 80 cases of incarcerated ureteral calculi in our hospital from January 2010 to December 2011 were analyzed retrospectively. Eighty patients were randomly divided into two groups: control group (40 cases), percutaneous nephrolithotomy (40 cases) and ureteroscopic holmium laser lithotripsy (CG). The stone clearance and postoperative complications of the two groups were compared. Results: The patients in the observation group were better at 1 month and 3 months after operation than those in the control group. There was significant difference between the two groups (P <0.05), and the postoperative observation group occurred The incidence of fever and other complications was significantly lower than the control group, the difference was significant between the two groups, with statistical significance (P <0.05). Conclusion: Ureteroscopic holmium laser lithotripsy for the treatment of incarcerated upper ureteral calculi significant effect, less postoperative complications, is the preferred method of clinical treatment of upper ureteral calculi.