【摘要】 目的 研究组合式输尿管软镜碎石术与微通道经皮肾镜碎石术对输尿管上段结石患者结石排净的影响。方法 方便选取2021年1月—2023年12月微山县人民医院收治的68例输尿管上段结石患者为研究对象，按照治疗方法不同分为参考组与观察组，各34例，参考组行微通道经皮肾镜碎石术，观察组行组合式输尿管软镜碎石术，分析两组患者肝肾功能指标、结石排净率、治疗效果及手术指标。结果 两组肝肾功能指标比较，差异均无统计学意义（P均>0.05）。观察组结石排净率为91.18%(31/34)高于参考组的70.59%(24/34)，差异有统计学意义（χ~2=4.660,P<0.05）。观察组治疗总有效率为97.06%(33/34)，高于参考组的76.47%(26/34)，差异有统计学意义（χ~2=4.610,P<0.05）。且两组患者手术指标比较，观察组手术时间（35.30±2.53）min、住院时间（3.50±0.19）d、下床活动时间（10.29±1.70）h、排气时间（4.70±0.39）h、术中出血量（15.30±1.19）mL优于参考组的（81.19±5.21）min、（7.49±0.49）d、（26.49±3.30）h、（14.90±2.40）h、（62.60±4.67）mL，差异均有统计学意义（t=57.738,51.492,29.598,28.452,66.567;P均<0.05）。结论 输尿管上段结石实施组合式输尿管软镜碎石术后，患者的手术指标、结石排净率、治疗效果更优。更多还原

【Abstract】 Objective To study the effect of combined ureteral flexible lithotripsy and microchannel percutaneous nephrolithotripsy on stone evacuation in patients with upper ureteral stones. Methods From January 2021 to December 2023, sixty-eight patients with upper ureteral stones in Weishan People’s Hospital were conveniently selected as the research objects, according to the different treatment methods, they were divided into the reference group and the observation group of thirty-four cases each, the reference group carried out micro-channel percutaneous nephrolithotripsy, and the observation group carried out the combined ureteral flexible lens lithotripsy. The liver and kidney function indexes, stone discharge rate, treatment effect and surgical indexes were analysed in the two groups. Results There were no significant differences in liver and kidney function indexes between the two groups(all P>0.05). The stone clearance rate of the observation group was 91.18%(31/34), which was higher than 70.59 %(24/34) of the reference group, and the difference was statistically significant(χ~2=4.660, P<0.05). The total effective rate of treatment in the observation group was 97.06%(33/34), which was higher than 76.47%(26/34) in the reference group, and the difference was statistically significant(χ~2=4.610, P<0.05). The operation time, hospitalization time, ambulation time, exhaust time, intraoperative blood loss were(35.30±2.53) min,(3.50±0.19) d,(10.29±1.70) h,(4.70±0.39) h(15.30±1.19) mL in the observation group, which were better than(81.19±5.21) min,(7.49±0.49) d,(26.49±3.30) h,(14.90±2.40) h,(62.60±4.67) mL in the reference group, the differences were statistically significant(t=57.738, 51.492,29.598, 28.452, 66.567; all P<0.05). Conclusion After the implementation of combined ureteral flexible lithotripsy for upper ureteral calculi, the surgical indexes, stone evacuation rate, and therapeutic efficacy of the patients were more superior.更多还原