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目的探究截石斜仰卧位输尿管镜、肾镜双镜联合治疗上尿路结石的临床疗效。方法 158例上尿路结石患者,随机分为观察组与对照组,各79例。对照组予以常规俯卧位下输尿管镜、肾镜双镜治疗,观察组予以截石斜仰卧位下输尿管镜、肾镜双镜联合治疗,观察对比两组临床疗效及安全性。结果两组均顺利完成手术,观察组手术时间、术中出血量、术后住院时间及一期清石率均明显优于对照组,差异具有统计学意义(P<0.05)。观察组术后并发症发生率为6.3%(5/79),明显低于对照组的20.3%(16/79),差异具有统计学意义(P<0.05)。结论截石斜仰卧位下输尿管镜、肾镜联合治疗上尿路结石可提高一期清石率,且更为安全可行,值得临床应用。
Objective To investigate the clinical effect of calcaneus supine ureteroscopy and nephrolithotracheal combined treatment of upper urinary calculi. Methods 158 cases of upper urinary tract stones were randomly divided into observation group and control group, 79 cases each. Patients in the control group were treated with ureteroscopy and nephrolithotomy under conventional prone position. The observation group was treated with ureteroscopy and nephrolithotomy in the supine position, and the clinical efficacy and safety were compared between the two groups. Results The operation was completed successfully in both groups. The operation time, intraoperative blood loss, postoperative hospital stay and the rate of primary stone removal in the observation group were significantly better than those in the control group (P <0.05). The incidence of postoperative complications in the observation group was 6.3% (5/79), which was significantly lower than that in the control group (20.3%, 16/79). The difference was statistically significant (P <0.05). Conclusions Ureteroscopic and nephrolithotomy combined with upper urinary tract calculi can improve the rate of primary clear stone, which is more safe and feasible and worthy of clinical application.