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目的比较经输尿管镜钬激光碎石和气压弹道碎石治疗输尿管结石的疗效和安全性。方法回顾性分析经输尿管镜治疗输尿管结石846例患者临床资料,其中钬激光碎石组458例,气压弹道碎石组388例。结果 钬激光碎石组和气压弹道碎石组碎石成功率分别为93.0%和73.8%。两组手术均较安全,无明显严重并发症发生。结论在治疗输尿管结石上,钬激光碎石比气压弹道碎石具有更高的碎石成功率(P<0.01),并可同时处理输尿管息肉及狭窄,值得临床推广应用。
Objective To compare the efficacy and safety of ureteroscopic holmium laser lithotripsy and pneumatic lithotripsy in the treatment of ureteral calculi. Methods The clinical data of 846 ureteral calculi patients treated by ureteroscopy were analyzed retrospectively. Among them, 458 were treated with holmium laser and 388 were treated with pneumatic lithotripsy. Results The success rates of holmium laser lithotripsy and pneumatic lithotripsy were 93.0% and 73.8%, respectively. Two groups of surgery were safer, no significant serious complications. Conclusions In the treatment of ureteral calculi, holmium laser lithotripsy has a higher success rate of gravel than pneumatic lithotripsy (P <0.01), and can treat ureteral polyps and stenosis simultaneously, which is worthy of clinical application.