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目的探讨套石篮在输尿管镜下钬激光碎石术治疗输尿管上段结石中的应用效果。方法将2008年1月-2012年6月间收治的输尿管上段结石患者200例随机分为两组,观察组在碎石术中使用套石篮。比较两组患者平均手术时间、平均住院时间、碎石成功率和术后感染率之间的差异。结果观察组患者平均手术时间和住院时间低于对照组,碎石成功率高于对照组,差异有统计学意义。两组患者术后感染率未见显著差异。结论套石篮能有效提高输尿管镜下钬激光碎石术对输尿管上段结石的碎石效率,能缩短手术时间,提高碎石成功率,应在临床上予以推广使用。
Objective To investigate the application effect of the stone basket in the ureteroscopic holmium laser lithotripsy in the treatment of upper ureteral calculi. Methods 200 patients with upper ureteral calculi admitted from January 2008 to June 2012 were randomly divided into two groups. The observation group used the stone basket in lithotripsy. The differences between the two groups in mean operative time, mean length of stay, success rate of gravel, and postoperative infection were compared. Results The average operation time and hospitalization time of the observation group were lower than those of the control group, and the success rate of gravel was higher than that of the control group. The difference was statistically significant. There was no significant difference in postoperative infection rates between the two groups. Conclusion Set of stone basket can effectively improve the ureteroscopic holmium laser lithotripsy of upper ureteral calculi lithotripsy efficiency can shorten the operation time and improve the success rate of lithotripsy should be promoted in clinical use.