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目的对比观察腹腔镜与输尿管镜治疗输尿管上段结石患者的临床效果。方法选择医院2015年2月-2017年7月收治的输尿管上段结石患者40例作为研究对象,按照随机数字表法分为腹腔镜组与输尿管镜组各20例,腹腔镜组采取后腹腔镜输尿管切开取石术,输尿管镜组采取输尿管镜钬激光碎石术,比较2组治疗效果。结果2组患者术后镇痛泵使用时间、住院时间比较差异无统计学意义(P>0.05);但输尿管镜组手术时间和术中出血量均低于腹腔镜组,差异有统计学意义(P<0.05)。腹腔镜组结石清除率为100.0%高于输尿管组的85.0%(χ2=16.216,P<0.05),腹腔镜组发热、输尿管黏膜损伤及狭窄等并发症总发生率为10.0%明显低于输尿管镜组的25.0%(χ2=7.792,P<0.05)。结论腹腔镜与输尿管镜治疗输尿管上段结石均取得了一定临床效果,但腹腔镜效果更好,清除病灶彻底,安全性较高,临床可根据患者具体情况采取合适的治疗方式。
Objective To compare the clinical effects of laparoscopy and ureteroscopy in the treatment of upper ureteral calculi. Methods Forty patients with upper ureteral calculi admitted from February 2015 to July 2017 in our hospital were selected as the research objects. According to the random number table, 20 cases were divided into laparoscopic group and ureteroscopic group, and laparoscopic ureter Open lithotomy, ureteroscopic ureteroscopic holmium laser lithotripsy, the treatment effect of two groups were compared. Results There was no significant difference in postoperative analgesia pump use time and hospitalization time between the two groups (P> 0.05). However, the operative time and intraoperative blood loss in ureteroscopy group were lower than those in laparoscopic group, the difference was statistically significant P <0.05). Laparoscopic group stone clearance rate was 100.0% higher than ureteral group 85.0% (χ2 = 16.216, P <0.05), laparoscopic group fever, ureteral mucosal injury and stenosis and other complications was significantly lower than 10.0% 25.0% of the group (χ2 = 7.792, P <0.05). Conclusions Laparoscopy and ureteroscopic treatment of upper ureteral calculi have achieved some clinical results, but laparoscopic effect is better, complete removal of lesions, higher safety, clinical according to the specific circumstances of patients with appropriate treatment.