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1、后腹腔鏡與輸尿管鏡治療輸尿管上段結(jié)石的比較研究【摘要】目的：比較分析后腹腔鏡與輸尿管鏡治療輸尿管上段結(jié)石的臨床效果。方法：采用隨機(jī)數(shù)字表法選取100例采用輸尿管鏡治療輸尿管上段結(jié)石的患者作為對(duì)照組，選取86例采用后腹腔鏡治療輸尿管上段結(jié)石的患者作為試驗(yàn)組，比較兩組患者取石成功率、結(jié)石滑入腎內(nèi)無(wú)法取出率及術(shù)后結(jié)石殘余率情況。結(jié)果：試驗(yàn)組取石成功率（100%）明顯高于對(duì)照組（75.00%）,試驗(yàn)組結(jié)石滑入腎內(nèi)無(wú)法取出率（0）和術(shù)后結(jié)石殘余率（0）都明顯低于對(duì)照組結(jié)石滑入腎內(nèi)無(wú)法取出率（15.00%）和術(shù)后結(jié)石殘余率（10.00%）,試驗(yàn)組結(jié)石一次性清除率（100%
2、）明顯高于對(duì)照組結(jié)石一次性清除率（75.00%）,差異有統(tǒng)計(jì)學(xué)意義（P〈0.05）。結(jié)論：采用后腹腔鏡的方法相較于輸尿管鏡技術(shù)治療輸尿管上段結(jié)石，取石成功率高，無(wú)結(jié)石滑入腎內(nèi)無(wú)法取出，術(shù)后無(wú)結(jié)石殘留，結(jié)石清除更徹底，安全,可靠，輸尿管上段結(jié)石在輸尿管鏡上鏡困難或結(jié)石較人時(shí)采用后腹腔鏡取石更具優(yōu)勢(shì)?！娟P(guān)鍵詞】后腹腔鏡；輸尿管鏡；輸尿管上段結(jié)石中圖分類(lèi)號(hào)R693文獻(xiàn)標(biāo)識(shí)碼A文章編號(hào)1674-6805（2014）20-0016-02ComparativeStudyofRetroperitoneoscopyandUreteroscopeintheTreatmentof
3、UpperUreteralCalculi/IIUANGGuang-long,LIANGHua-liang,HUANGHuo,etal.//ChineseandForeignMedicalResearch,2014,12(20)：16-17[Abstract]Objective：Tocompareandanalyzetheclinicaleffectsofretroperitoneoscopyandureteroscopeinthetreatmentofupperureteralcalculi.Method：100caseswithupperureteralca
4、lculitreatedbyureteroscopewereselectedasthecontrolgroup,andanother86patientstreatedbyretroperitoneoscopywereselectedastheexperimentalgroup,bymethodofrandomnumbertable,calculussuccessfullyremovedrate,rateofcalculussliddingintokidneywhichcouldntremove,residualratioofcalculusafteropera
5、tionoftwogroupswerecompared?Result:Thesuccessfulcalculusremovalrateofexperimentalgroup(100%)wassignifiedntlyhigherthancontrolgroup(75?00%)afterobservation,rateofcalculussliddingintokidneywhichcouldn'tremoveandresidualcalculusofexperimentalgroup(0,0)weresignificantlylowerthancontrolg
6、roup(15?00%,10.00%),anddisposableclearancerateofexperimentalgroup(100%)wassignificantlyhigherthancontrolgroup(75.00%),differencesbetweentwogroupswerestatisticallysignificant(P<0.05).Conclusion：Retroperitoneoscopyhasadvantagesofhighercalculiremovalrate,withnocalculussliddingintokidne
7、ywhichcouldn,tremoveandwithoutcalculusresidual,clearingthecalculusmorecompletelyoverureteroscope,safeandreliable,ithasbetteradvantagesthatapplyingretroperitoneoscopyinupperureteralcalculiwhenit/shardtouseureteroscopeorthecalculusisbigger.【Keywords】Retroperitoneoscopy；Ureteroscope；Up
8、perureteralcalculiF
