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目的探讨微创经皮肾镜取石术对上段输尿管结石的治疗效果。方法选择106例输尿管上段结石患者,随机分为观察组和对照组,各53例,观察组给予微创经皮肾镜取石术,对照组采取经输尿管镜腔内钬激光碎石术。结果观察组和对照组各53例,观察组结石清除率为94.34%,对照组为69.81%(P<0.05);观察组手术时间、住院时间、住院费用、并发症发生率均明显低于对照组(P<0.05)。结论微创经皮肾镜取石术治疗上段输尿管结石,手术时间短,清除结石率高,并发症少,值得推广。
Objective To investigate the effect of minimally invasive percutaneous nephrolithotomy on upper ureteral calculi. Methods 106 patients with upper ureteral calculi were randomly divided into observation group and control group, with 53 cases in each group. The observation group received minimally invasive percutaneous nephrolithotomy and the control group received ureteroscopic holmium laser lithotripsy. Results The observation group and the control group had 53 cases each. The stone clearance rate was 94.34% in the observation group and 69.81% in the control group (P <0.05). The operation time, hospitalization time, hospitalization expense and complication rate in the observation group were significantly lower than those in the control group Group (P <0.05). Conclusion Minimally invasive percutaneous nephrolithotomy for the treatment of upper ureteral calculi has short operative time, high rate of stone removal and few complications. It is worth popularizing.