2023年2月第30卷第2期输尿管软镜钬激光碎石术治疗输尿管上段大结石的效果观察张展，李永强，李宏州（郑州颐和医院泌尿外科，河南郑州450046）【摘要】目的探讨输尿管软镜钬激光碎石术（FURL）治疗输尿管上段大结石的效果。方法80例输尿管上段大结石患者随机分为两组各40例，对照组采用经皮肾镜取石术（PCNL）治疗，观察组采用FURL治疗，比较两组的手术指标、结石清除效果、并发症。结果观察组的手术时间长于对照组，但术中出血量少于对照组，住院时间短于对照组（P＜0.05）。观察组的结石清除率高于对照组，并发症发生率低于对照组（P＜0.05）。结论FURL治疗输尿管上段大结石虽然会延长手术时间，但具有术中出血量更少、住院时间更短、结石清除率更高、并发症发生率更低等优势。【关键词】输尿管上段大结石；输尿管软镜钬激光碎石术；并发症中图分类号：R693+.4文献标识码：Adoi:10.3969/j.issn.1674-4659.2023.02.0153ObservationontheEffectofFlexibleUreteroscopicHolmiumLaserLithotripsyintheTreatmentofLargeUpperUreteralCalculi//ZHANGZhan,LIYongqiang,LIHongzhou(DepartmentofUrology,ZhengzhouYiheHospital,Zhengzhou450046,China)[Abstract]ObjectiveToexploretheeffectofflexibleureteroscopicholmiumlaserlithotripsy(FURL)inthetreatmentoflargeupperureteralcalculi.Methods80patientswithlargeupperureteralcalculiwererandomlydividedintotwogroups,with40casesineachgroup.Thecontrolgroupwastreatedwithpercutaneousnephrolithotomy(PCNL),andtheobservationgroupwastreatedwithFURL.Thesurgicalindicators,stoneclearanceeffectandcomplicationswerecomparedbetweenthetwogroups.ResultsTheoperationtimeoftheobservationgroupwaslongerthanthatofthecontrolgroup,buttheintraoperativebloodlossamountwaslessthanthatofthecontrolgroup,andthehospitalizationtimewasshorterthanthatofthecontrolgroup(P<0.05).Thestoneclearancerateoftheobservationgroupwashigherthanthatofthecontrolgroup,andtheincidenceofcomplicationswaslowerthanthatofthecontrolgroup(P<0.05).ConclusionsInthetreatmentoflargeupperureteralcalculi,althoughFURLwillprolongtheoperationtime,butithastheadvantagesoflessintraoperativebloodlossamount,shorterhospitalizationtime,higherstoneclearancerateandlowerincidenceofcomplications.[K...
