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目的:探讨输尿管硬镜联合钬激光碎石术治疗复杂性输尿管结石的临床效果。方法:将本院收治的68例复杂性输尿管结石患者随机分为对照组与研究组,对照组34例采用输尿管硬镜联合气压弹道碎石治疗,观察组34例采用输尿管硬镜联合钬激光碎石术治疗。比较两组患者的治疗效果。结果:术后观察组手术时间和住院时间显著低于对照组,结石排净率94.1%显著高于对照组的76.5%,并发症发生率2.9%显著低于对照组的17.6%,组间比较,差异具有统计学意义(P<0.05)。结论:采用输尿管硬镜联合钬激光碎石术治疗复杂性输尿管结石效果显著,结石排净率高,患者术后恢复快。
Objective: To investigate the clinical effect of ureteroscopic combined with holmium laser lithotripsy in the treatment of complicated ureteral calculi. Methods: Sixty-eight patients with complicated ureteral calculi admitted to our hospital were randomly divided into control group and study group. 34 cases in control group were treated by ureteroscopic combined with pneumatic lithotripsy. 34 cases in observation group were treated by ureteroscopic combined holmium laser Stone surgery. The treatment effect of two groups of patients was compared. Results: The operation time and hospital stay in postoperative observation group were significantly lower than those in control group, the stone removal rate was 94.1%, significantly higher than 76.5% in control group, the complication rate was 2.9%, significantly lower than 17.6% in control group. , The difference was statistically significant (P <0.05). Conclusions: Ureteroscopic ureteroscopic holmium laser lithotripsy is effective in treating complex ureteral calculi. The rate of stone removal is high, and the patients recover quickly.