【摘要】

【摘要】目的 考察输尿管镜下钬激光碎石术与腹腔镜下输尿管中下段切开取石术治疗输尿管结石临床效果差异。
方法 我院2013年3月～2015年3月收治的90例输尿道下段和中段结石患者，按其治疗
方法，分为观察组和对照组。对照组
方法为腹腔镜下输尿管中下段切开取石术治疗，观察组
方法为输尿管镜下钬激光碎石术治疗，每组皆为45例。对比两组患者结石清除率和复发情况、围手术期资料和并发症发生率。
结果 两组患者结石清除率和复发率差异无统计学意义（P>0.05）。观察组患者手术时间、术中出血量、住院时间和镇痛药使用率与对照组比较差异存在统计学意义（P<0.01）。两组患者术后并发症发生率差异无统计学意义（x2=0.212，P>0.05）。
结论 两种手术
方法治疗输尿管结石均安全有效、但输尿管镜下钬激光碎石术术中损伤更小术后恢复更快，具有临床应用价值。

【Abstract】

【Abstract】Objective: To study the clinical efficacy of laparoscopic holmium laser lithotripsy and laparoscopic lithotomy on middle and lower ureteral calculi.
Methods: A total of 90 patients with ureteral calculi were divided into observation group and control group, 45 patients in each group. Patients in control group were treated by laparoscopic lithotomy and patients in observation group were treated by laparoscopic holmium laser lithotripsy. The stone clearance and recurrence, perioperative data and complication rates were compared between two groups.
Results: There was no significant difference of calculi clearance rate and recurrent rate between two groups(P>0.05). The operative time, blood loss, hospital stay, analgesic usage and control group in observation group were statistically less than those in control group(P<0.01). The incidence of postoperative complications has no significant difference between the two groups (x2=0.212，P>0.05).
Conclusion  : Both surgical methods are safe and effective treatment on ureteral calculi, but laparoscopic holmium laser lithotripsy surgery less damage and faster recovery after surgery, has clinical value.