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目的探讨输尿管软硬镜联合钬激光同期治疗双侧输尿管结石的临床效果。方法抽取98例双侧输尿管结石患者,随机分为对照组和观察组,每组各49例,对照组采用输尿管硬镜钬激光碎石治疗,观察组采用输尿管软硬镜联合钬激光同期碎石治疗,对比两组患者结石清除效果、不良反应发生率和住院时间。结果观察组患者的结石清除率为89.80%,明显优于对照组(P<0.05),差异有统计学意义;观察组患者的不良反应发生率明显低于对照组(P<0.05);观察组患者的住院时间明显较对照组短,差异有统计学意义(P<0.05)。结论输尿管软硬镜联合钬激光同期治疗最大径≤20mm双侧输尿管结石的结石清除效果较彻底,一次性手术的双侧输尿管结石清除率高,并发症发生率低,康复效果好,值得广泛应用于临床。
Objective To investigate the clinical effects of ureteroscopic rigid-urethate combined with holmium laser in the treatment of bilateral ureteral calculi. Methods 98 patients with bilateral ureteral calculi were randomly divided into control group and observation group, 49 cases in each group. The control group was treated by ureteroscopic holmium laser lithotripsy. The observation group was treated by ureteroscope combined with holmium laser lithotripsy Treatment, compared the two groups of patients with stone removal, the incidence of adverse reactions and hospitalization time. Results The stone clearance rate of the observation group was 89.80%, which was significantly better than that of the control group (P <0.05), and the difference was statistically significant. The incidence of adverse reactions in the observation group was significantly lower than that in the control group (P <0.05) The hospitalization time of patients was significantly shorter than that of control group, with significant difference (P <0.05). Conclusions Ureteroscopic combined with holmium laser in the treatment of bilateral ureteral calculi with maximum diameter less than or equal to 20 mm is more effective in the treatment of stones with bilateral ureteral calculi with ureteral calculi and rigid endoscope. One-time bilateral ureteral calculi has high clearance rate, low complication rate and good rehabilitation effect. In clinical.