论文部分内容阅读
目的分析输尿管镜治疗输尿管上段结石的临床疗效。方法将输尿管上段结石患者81例随机分为两组,URL组行经尿道输尿管镜气压弹道碎石术,RLU组行后腹腔镜输尿管切开取石术,比较两组碎石成功率、术后3d和1月结石清除率、手术耗时、平均住院时间和总费用。结果两组患者碎石成功率、术后3d和1月结石清除率无统计学差异(P>0.05);两组患者手术耗时、平均住院时间和总费用比较,差异有统计学意义(P<0.05)。结论在认真评估患者结石情况及细心操作下,输尿管镜可有效治疗输尿管上段结石。
Objective To analyze the clinical effect of ureteroscopic treatment of upper ureteral calculi. Methods A total of 81 patients with upper ureteral calculi were randomly divided into two groups. The URL group was transurethral ureteroscopic pneumatic lithotripsy, the RLU group was performed laparoscopic ureterolithotomy, and the success rate of gravel was compared between the two groups. 3d and January stone clearance rate, operation time, average length of stay and total costs. Results There was no significant difference in the success rate of stone grading between the two groups (P> 0.05). The time of operation, average length of hospital stay and total cost of two groups were statistically significant (P <0.05). Conclusion In the careful assessment of patients with stone and careful operation, ureteroscopy can effectively treat the upper ureteral calculi.