目的 研究体外冲击波碎石+输尿管镜碎石取石术运用于输尿管上段结石中的价值。方法 回顾性选择2005年1月—2019年4月50例输尿管上段结石(结石直径0.9～1.8 cm)患者,研究组25例患者采取体外冲击波碎石+输尿管镜碎石取石术,对照组25例患者采取开放输尿管切开取石术,对比两组治疗结果。结果 研究组手术时间、出血量、住院时间及医疗费用均低于对照组(P＜0.05)。研究组结石清除成功率92.00%,明显高于对照组76.00%(P＜0.05)。研究组并发症发生率为4.00%,明显低于对照组的16.00%(P＜0.05)。治疗前两组的生理机能、躯体疼痛、社会功能、情感职能评分相比无差异(P>0.05),治疗后研究组各项评分均高于对照组(P＜0.05)。结论 体外冲击波碎石+输尿管镜碎石取石术运用于输尿管上段结石中效果明显,提升结石清除成功率,缩短治疗时间,减轻家庭经济负担,减少并发症产生,改善生活质量。

Objective To study the clinical value of extracorporeal shock wave lithotripsy plus ureteroscopic lithotripsy in the treatment of upper ureteral calculi.Methods Fifty upper ureteral calculi patients (diameter of stone:0.9-1.8 cm) treated from January 2005 to April 2019 in our hospital were selected and randomly assigned to two groups, with 25 cases in each group.The study group took extracorporeal shock wave lithotripsy and ureteroscopic lithotripsy; the control group took percutaneous nephrolithotomy.The curative effect was compared.Results The study group showed reduced operation time, intraoperative blood loss, hospitalization time, and hospitalization cost compared with the control group (P＜0.05).The stone removal rate in the study group (92.00%) was higher than that in the control group (76.00%, P＜0.05); the complication rate in the study group (4.00%) was lower than that in the control group (16.00%, P＜0.05).Before surgery, the scores of physiological function, body pain, social function, and role emotional between the two groups were not significantly different (P＞0.05).After surgery, the scores in the study group were higher than those in the control group (P＜0.05).Conclusion The combination of extracorporeal shock wave lithotripsy and ureteroscopic lithotripsy can increase stone removal rate, shorten treatment time, reduce family financial burden, reduce patients’ complications, and improve their quality of life.