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目的:主要讨论了输尿管镜与后腹腔镜手术治疗输尿管上段结石的临床效果。方法:选取我院于2014年1月-2014年12月间收治的90例输尿管上段结石患者,随机将其分为观察组、对照组,其中观察组患者45例,接受输尿管镜治疗;对照组患者45例,接受后腹腔镜治疗,比较两组治疗效果。结果:观察组患者一次手术结石清除率为95.56%(43/45),对照组患者一次手术结石清除率为71.11%(32/45),两组结果相比,差异具有统计学意义(P<0.05);比较两组患者住院时间、手术时间等,观察组优于对照组(P<0.05)。结论:输尿管镜在治疗输尿管上段结石中的效果显著,一次手术结石清除率高,能降低患者痛苦,应该在临床上做进一步推广。
Objective: To discuss the clinical effect of ureteroscope and retroperitoneal laparoscopic surgery on upper ureteral calculi. Methods: Ninety patients with upper ureteral calculi treated in our hospital from January 2014 to December 2014 were randomly divided into observation group and control group, of which 45 patients in observation group received ureteroscopic treatment. The control group 45 patients were treated with retroperitoneal laparoscopy to compare the therapeutic effect of the two groups. Results: The stone clearance rate of one operation was 95.56% (43/45) in the observation group and 71.11% (32/45) in the control group. The difference between the two groups was statistically significant (P < 0.05). The hospitalization time and operation time of the two groups were better than the control group (P <0.05). Conclusion: Ureteroscopy is effective in the treatment of upper ureteral calculi. The high rate of stone removal in one operation can reduce the suffering of patients and should be further popularized clinically.