输尿管钬激光碎石术和微创经皮肾镜碎石术治疗输尿管上段结石疗效观察

摘要

Objective To compare and analyze the clinical effect ofholmium laser lithotripsy and minimally invasive percutaneous lithotripsy in the treatment of upper ureteral calculi.Methods 68 patients with upper ureteral calculi were randomly divided into group Ⅰ (holmium laser lithotripsy) and group Ⅱ (MPCNL), and treatment effect of two groups were observed after operation. Results Ⅰ group of patients with calculi discharge rate was 73.5% (25/34), gravel success rate was 82.3% (28/34), duration of hematuria for (7.5±2.4) d, level of hemoglobin decreased (3.2±1.1)%, Ⅱ group of patients with calculi discharge rate was 97.05% (33/34), gravel success rate was 100% (34/34), duration of hematuria for (7.0±1.6) d, level of hemoglobin decreased (3.8±1.2) %, so Ⅱ surgical treatment effect is better than that of Ⅰ group, two groups of patients data comparison differences statistically significant (P<0.05).Conclusion Compared with the holmium laser lithotripsy, minimally invasive percutaneous lithotripsy for the treatment of upper ureteral calculi is more obvious.%目的：对比和分析输尿管钬激光碎石术和微创经皮肾镜碎石术治疗输尿管上段结石的临床疗效。方法选取68例确诊为输尿管上段结石的患者，随机分为Ⅰ组（输尿管钬激光碎石术）和Ⅱ组（微创经皮肾镜碎石术），观察两组患者的术后状态和治疗效果。结果Ⅰ组患者结石排尽率为73.5%（25/34），碎石成功率为82.3%（28/34），血尿持续时间为（7.5±2.4）d，血红蛋白下降程度为（3.2±1.1）%；Ⅱ组患者结石排尽率为97.05%（33/34），碎石成功率为100%（34/34），血尿持续时间为（7.0±1.6）d，血红蛋白下降程度为（3.8±1.2）%，因此Ⅱ组手术治疗效果优于Ⅰ组，两组患者治疗数据比较差异具有统计学意义（P＜0.05）。结论和输尿管钬激光碎石术相比，微创经皮肾镜碎石术治疗输尿管上段结石的临床疗效更加明显。