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目的比较经尿道输尿管镜气道弹道碎石术(URL)和后腹腔镜输尿管切开取石术(RLU)治疗输尿管结石的临床效果。方法选取上杭县医院2013年1月—2016年1月收治的80例输尿管结石的患者,按照手术方法不同分为输尿管镜组(URL)60例和后腹腔镜(RLU)组20例,比较两组一次性清石率、手术时间、住院时间、并发症及满意度。结果两组患者一次碎石成功率、手术时间和住院时间、并发症发生率、术后恢复率比较,差异无统计学意义(P>0.05)。URL组治疗满意度高于RLU组(P<0.05)。结论 URL与RLU治疗输尿管结石均具有较好的临床效果,且一次碎石成功率较高,术后并发症较少、术后恢复较快,但URL较RLU治疗满意度高。
Objective To compare the clinical effects of transurethral ureteroscopic pneumatic lithotripsy (URL) and retroperitoneal laparoscopic ureteral lithotomy (RLU) in the treatment of ureteral calculi. Methods Eighty patients with ureteral calculi admitted to Shanghang County Hospital from January 2013 to January 2016 were selected and divided into two groups according to the method of operation: 60 cases of ureteroscopy (URL) and 20 cases of retroperitoneal laparoscopy (RLU) Two groups of one-time rate of stone, operation time, hospital stay, complications and satisfaction. Results There was no significant difference in the success rate of primary gravel, operation time and hospitalization time, complication rate and postoperative recovery rate between the two groups (P> 0.05). The satisfaction of URL group was higher than that of RLU group (P <0.05). Conclusion Both URL and RLU have a good clinical effect in the treatment of ureteral calculi, and the success rate of primary gravel is high. There are fewer postoperative complications and faster recovery after operation, but URL is more satisfied than RLU.