输尿管镜下与腹腔镜下治疗输尿管结石比较

目的观察经输尿管微创取石的效果，并与经腹腔镜下切开取石作对比。方法输尿管结石患者120例，分成两组，A组（60例）采用输尿管镜下气压弹道碎石后经输尿管取石，B组（60例）采用经腹腔镜下切开取石。结果A组有效率95．00％，B组有效率91．67％，差异无统计学意义（t=3．10482，P=0．07653）。A组并发症发生率小于B组（t=2．27434，P=0．03873）。结论输尿管镜下气压弹道碎石后经输尿管微创取石和经腹腔镜下切开取石治疗输尿管结石的效果都值得肯定，前者并发症的发生率更小，可根据患者具体情况选用适用的方法。

Objective To observe the therapeutic effects of ureteroscopic pneumatic lithotripsy for proximal ureteric calculus, comparing with laparoscopic ureterolithotomy. Method 120 cases in our department were devided into 2 groups. A group were treated with ureteroscopie pneumatic lithotripsy and B group were treated with laparoscopic ureterolithotomy. Result Effective rate in A group was 95.00% while in B group was 91.67%. There was no significant difference （ t = 3. 10482, P = 0. 07653 ）. Complications incidence in A group was lower than in B group （ t = 2. 27434, P = 0. 03873 ）. Conclusion Ureteroscopic pneumatic lithotripsy and laparoscopic ureterolithotomy are both effective for proximal ureteric calculus. The former has lower complications incidence rate. Doctor should choose an individualized therapy for pationts.