目的分析钬激光碎石在老年输尿管结石治疗中的应用效果。方法随机选取江阴市中医院老年输尿管结石患者86例,依照其入院顺序将其分为观察组44例和对照组42例。对照组给予传统开放性手术方式治疗,观察组患者给予输尿管镜下钬激光碎石术治疗。观察两组患者术中及术后相关情况,并比较两组患者的治疗效果。结果两组患者治愈率比较差异未见统计学意义(P>0.05);观察组患者手术时间、术后胃肠功能恢复时间、术后住院时间及术后输液时间明显少于对照组(P<0.05);观察组患者镇痛药物使用率、术中出血量、术后双J管移位发生率、术后不良反应率及再次碎石率均明显优于对照组(P<0.05)。结论钬激光碎石术可有效缩短老年输尿管结石患者手术时间,降低病情复发率,有重要临床价值,值得广泛推广使用。 Objective To analyze the effect of holmium laser lithotripsy in the treatment of senile ureteral calculi. Methods Totally 86 elderly patients with ureteral calculi in Jiangyin Hospital of Traditional Chinese Medicine were enrolled. According to their order of admission, they were divided into observation group (44 cases) and control group (42 cases). The control group was given traditional open surgical treatment, and the observation group received ureteroscopic holmium laser lithotripsy. The two groups were observed during and after surgery, and compared the treatment effect of two groups of patients. Results There was no significant difference in the cure rate between the two groups (P> 0.05). The operation time, postoperative gastrointestinal function recovery time, postoperative hospital stay and postoperative infusion time in the observation group were significantly less than those in the control group (P < 0.05). Analgesic drug use rate, intraoperative blood loss, postoperative double J tube shift, postoperative adverse reaction rate and the rate of re-gravel in the observation group were significantly better than those in the control group (P <0.05). Conclusion Holmium laser lithotripsy can effectively shorten the operation time of elderly patients with ureteral calculi and reduce the recurrence rate, which has important clinical value and should be widely used.