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目的观察输尿管软镜钬激光治疗老年上尿路结石的临床效果。方法将老年上尿路结石患者146例根据数字表法随机分为研究组和对照组,每组72例,研究组给予输尿管钬钬激光治疗,对照组给予体外冲击碎石术治疗。观察2组患者临床疗效、结石清除率及并发症等情况。结果研究组结石清除率为93.06%(67/72)高于对照组的81.94%(59/72),差异有统计学意义(χ~2=5.653,P<0.05)。2组患者手术期间未出现需要中转开放手术的并发症。研究组在结石直径≤10 mm或>10 mm的手术时间均短于对照组,差异均有统计学意义(P<0.05)。结论输尿管钬钬激光治疗老年上尿路结石相对于体外冲击碎石具有较高的结石清除率,且术后并发症低,值得临床医师应用和推广。
Objective To observe the clinical effect of ureteroscopic holmium laser in the treatment of upper urinary tract calculi. Methods One hundred and sixty-six patients with upper urinary tract calculi were randomly divided into study group and control group according to the digital table method, with 72 cases in each group. The study group was given ureteroscopic holmium-holmium laser treatment while the control group was treated by external shock lithotripsy. The clinical efficacy, stone clearance and complications of the two groups were observed. Results The stone clearance rate of the study group was 93.06% (67/72), which was significantly higher than that of the control group (81.94%, 59/72) (χ ~ 2 = 5.653, P <0.05). No complications occurred in the two groups during the operation. The study group shorter than the control group in the diameter of the stones ≤ 10 mm or> 10 mm, the difference was statistically significant (P <0.05). Conclusion Ureteral holmium holmium laser treatment of upper urinary tract stones relative to the impact of extracorporeal shock lithotripsy has a high rate of stone clearance, and low postoperative complications, it is worth the clinician application and promotion.