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Objective To investigate the efficacy of Shuotong Jing combined with holmium laser in the treatment of renal pelvis. Methods Sixty- six patients with pyelonesis treated with Shuotong Jing combined with holmium laser and 76 patients with ureteral calculi treated with ureteroscope and holmium laser were selected from the urinary ward of the Second Affiliated Hospital of KunmingMedical University from January to September 2018. In the Shuotong group，there were 34 males and 30 females， aged 23- 64 years old， with an average of （41.09±7.11） years old，with a diameter of 0.8- 2.0 cm，an average of 1.2 cm. And there were 40 males in the ureteroscopy group， 36 female，aged 25 to 68 years，mean （43.38 ± 7.81） years old， stone diameter of 0.7 ~ 2.0cm， an average of 1.1cm. All patients underwent general anesthesia， and then placed under the guidance of super- sliding black guide wire，then enter the Shuotong Jing and ureteroscope to find the renal calculus，and crush the stone. We observed the operation time， hospital stay， intraoperative bleeding， stone clearance rate （January）， postoperative complications， success rate of sheathing and other related conditions. Results The operation time of the Shuotong group was 60.84±10.27min， the average intraoperative blood loss was 27.98ml， the stone clearance rate was （16.87%） （62/64）， and the postoperative complications were 4.68% （3/64） . The ureter was soft. The average operation time of the microscope group was 75.05±8.61min， the average intraoperative blood loss was 54.71ml， the stone clearance rate （January） was 78.94% （62/64）， and the postoperative complications were 21.05% （3/64. There were significant differences in operation time， intraoperative bleeding， stone clearance rate， and postoperative complications between the two groups （P < 0.05）， but there was no significant difference in hospitalization time and catheterization success rate（P > 0.05） . Conclusion Shuotong Jing lithotripsy has the advantages of feasibility， relative safety， high stone removal rate and lowinfection rate in the treatment of renal pelvis. [ABSTRACT FROM AUTHOR]

目的 比较硕通镜钬激光碎石术 (STL)、输尿管软镜钬激光碎石术(FURSL)治疗体外冲击波碎石术 (ESWL) 失败的输尿管上段结石的效果。方法 ESWL 治疗失败的输尿管上段结石患者40例,将所有患者随机分为 STL 组和 FURSL 组各 20 例, STL 组采用硕通镜钬激光碎石术治疗, FURSL 组采用 FURSL 治疗,比较两组手术时间、住院时间、术后1月结石清除率、置鞘成功率和术后并发症发生率。结果 STL组手术时间(22.38 ± 5.26) min、住院时间(2.12 ± 0.34) d、术后 1 月SFR 100%(20/20)、置鞘成功率85. 0%(17/20)、发热5. 0%(1/20)、血尿5. 0%(1/20)、输尿管损伤15. 0%(3/20), FURSL 组分别为(31. 67±6. 18) min、(3.15 ± 0.89) d、95%(19/20)、80.0%(16/20)、20.0%(4/20)、30.0%(6/20)、20.0%(4/20), 两组手术时间、住院时间、血尿发生率比较,P <0.05。结论 STL 与 FURSL 在治疗 ESWL 失败的输尿管上段结石上均为安全有效的手术方式。FURSL 因术中引流不佳,易造成肾盂压力增大及视野不清,提高感染、黏膜损伤等并发症的风险; STL 术中具有负压吸引作用,有效降低了肾盂压力,保持视野清晰,降低了并发症发生和提高了术后恢复。 [ABSTRACT FROM AUTHOR]