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目的:通过比较封堵取石导管联合URL与PCNL手术效果,探索封堵取石导管临床应用价值。方法:2013年1月~2013年12月共收治60例输尿管上段结石患者,按单盲随机分为封堵取石导管联合输尿管镜碎石取石术和经皮肾镜碎石取石术两组,通过分析平均手术时间、术中出血量、术中输尿管撕脱、术后镇痛药使用、术后并发症及患者住院时间、医疗费用等指标,进行疗效比较。结果:两组在平均手术时间、术中出血量、术后镇痛药使用、结石残留及住院时间、医疗费用等方面存在差异,有统计学意义(P<0.05)。结论:封堵取石导管联合输尿管镜碎石取石术在治疗输尿管上段结石中临床实际应用中安全有效,价值高,值得推广。
OBJECTIVE: To explore the clinical value of occlusion stone catheterization by comparing the surgical results of occlusion catheterization and PCNL. Methods: From January 2013 to December 2013, 60 patients with upper ureteral calculi were enrolled. Patients were divided into two groups according to the single blind method: occluded stone-guiding catheter combined with ureteroscopic lithotripsy and percutaneous nephrolithotomy, Analysis of the average operation time, intraoperative blood loss, intraoperative ureteral avulsion, postoperative analgesic use, postoperative complications and patient hospital stay, medical costs and other indicators, the efficacy comparison. Results: There was a significant difference between the two groups in mean operative time, intraoperative blood loss, postoperative analgesic use, residual stone and hospital stay, and medical expenses (P <0.05). Conclusion: It is safe and effective in the practical clinical application in the treatment of the upper ureteral calculi in the treatment of ureteral lithotripsy with stone blocking catheter and lithotripsy. It is worth to be popularized.