CAJ | 학술논문

目的：探究复杂性输尿管上段结石采用后腹腔镜输尿管上段切开取石术治疗的临床疗效。方法选取82例复杂性输尿管上段结石患者，随机数字法分为对照组和观察组均41例，对照组采用经尿道输尿管镜碎石术治疗，观察组采用后腹腔镜输尿管上段切开取石术治疗。结果观察组患者手术时间长于对照组（P <0.05），患者治疗总有效率、术中出血量以及术后并发症发生率与对照组比较差异均存在统计学意义（P <0.05）。结论复杂性输尿管上段结石采用后腹腔镜输尿管上段切开取石术治疗，临床疗效显著。
목적：탐구복잡성수뇨관상단결석채용후복강경수뇨관상단절개취석술치료적림상료효。방법선취82례복잡성수뇨관상단결석환자，수궤수자법분위대조조화관찰조균41례，대조조채용경뇨도수뇨관경쇄석술치료，관찰조채용후복강경수뇨관상단절개취석술치료。결과관찰조환자수술시간장우대조조（P <0.05），환자치료총유효솔、술중출혈량이급술후병발증발생솔여대조조비교차이균존재통계학의의（P <0.05）。결론복잡성수뇨관상단결석채용후복강경수뇨관상단절개취석술치료，림상료효현저。
Objective To explore the clinical effect of the treatment of upper ureteral calculi in the treatment of complicated upper ureteral calculi. Methods82 patients with upper ureteral calculi were randomly divided into control group and observation group with 41 cases in eachgroup,the control group was treated with transurethral resection of the ureter,the observation group was treated with retroperitoneal laparoscopic upper ureteral calculi.ResultsThe operation time of the observation group was longer than that of the control group (P < 0.05),the total effective rate,bleeding volume and postoperative complications were statistically significant(P < 0.05). ConclusionThe treatment of complex upper ureteral calculi with retroperitoneal laparoscopic upper ureteral calculi, the clinical curative effect is obvious.