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目的比较分析经输尿管软镜钬激光碎石术(FUHLL)和后腹腔镜输尿管切开取石术(RPLU)治疗输尿管上段结石的临床疗效。方法 51例输尿管上段结石患者,按治疗方法不同分为FUHLL组(25例)和RPLU组(26例)。FUHLL组给予FUHLL治疗,RPLU组给予RPLU治疗,分析两组患者手术成功率、手术时间、术中出血量、术后住院时间以及并发症情况。结果 FUHLL组患者手术时间、术中出血量、术后住院时间均优于RPLU组,差异有统计学意义(P<0.05)。FUHLL组手术成功率为92.00%,与RPLU组的96.15%比较,差异无统计学意义(P>0.05)。FUHLL组术后并发症发生率与RPLU组比较,差异无统计学意义(P>0.05)。结论 FUHLL和RPLU在治疗输尿管上段结石上成功率高,安全性好,并发症相对较少,具体使用哪种方法视病情而定。
Objective To compare and analyze the clinical efficacy of ureteroscopic holmium laser lithotripsy (FUHLL) and retroperitoneal laparoscopic ureteral calculi (RPLU) in the treatment of upper ureteral calculi. Methods Fifty-one patients with upper ureteral calculi were divided into FUHLL group (n = 25) and RPLU group (n = 26) according to different treatment methods. The FUHLL group was treated with FUHLL and the RPLU group with RPLU. The success rate of operation, operation time, intraoperative blood loss, postoperative hospital stay and complications were analyzed. Results The operation time, intraoperative blood loss and postoperative hospital stay in FUHLL group were significantly better than those in RPLU group (P <0.05). The success rate of surgery in FUHLL group was 92.00%, which was no significant difference compared with 96.15% in RPLU group (P> 0.05). The incidence of postoperative complications in FUHLL group was not significantly different from that in RPLU group (P> 0.05). Conclusion The success rate of FUHLL and RPLU in the treatment of upper ureteral calculi is high, with good safety and relatively few complications. Which method should be used depends on the condition.