输尿管镜治疗输尿管上段结石40例临床疗效

目的：分析输尿管镜治疗输尿管上段结石的临床疗效。方法将输尿管上段结石患者81例随机分为两组，URL组行经尿道输尿管镜气压弹道碎石术，RLU组行后腹腔镜输尿管切开取石术，比较两组碎石成功率、术后3d和1月结石清除率、手术耗时、平均住院时间和总费用。结果两组患者碎石成功率、术后3d和1月结石清除率无统计学差异（P 〉0.05）；两组患者手术耗时、平均住院时间和总费用比较，差异有统计学意义（P 〈0.05）。结论在认真评估患者结石情况及细心操作下，输尿管镜可有效治疗输尿管上段结石。

Clinical curative effect of Ureteroscopy on treatment of upper ureteral calculi on 40 cases

Objective To analyze the clinical efficacy of ureteroscopy on the treatment of upper ureteral calculi. Methods 81 cases of upper ureteral calculi patients were selected to divide into two groups. Patients of URL group with ransurethral ureteroscopic pneumatic lithotripsy; Patients of RLU group with retroperitoneal laparoscopic ureterolithotomy. Compared two groups of patients with success rate of rubble, the stone clearance rate of 3d and a month after the operation, time of operation, average length of stay and total costs. Results Two groups of patients of success rate of rubble, the stone clearance rate of 3d and a month after the operation, there was no statistically significant difference（P〉0.05）; The time of operation, average length of stay and total costs for URL group are greater than the RUL group, and the difference was statistically significant（P 〈0.05）. Conclusion Clinical doctors carefully evaluated the calculi of patients and careful operation, ureter mirror can be effective in the treatment of upper ureteral calculi.