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目的:比较钬激光碎石术和气压弹道碎石术处理输尿管上段结石的疗效及安全性。方法:应用输尿管镜下钬激光及气压弹道碎石术治疗输尿管上段结石共135例,其中钬激光碎石治疗51例,气压弹道碎石治疗84例,进行疗效、安全性等方面的比较。结果:钬激光碎石组和气压弹道碎石组的结石一次粉碎率分别为90.2%和76.2%(P<0.05),平均手术时间前者(49.43 min)较后者短(59.24 min)(P<0.05)。钬激光组出现输尿管穿孔1例,气压弹道组出现穿孔6例。结论:治疗输尿管上段结石钬激光较气压弹道碎石具有一定的优势,是一种安全有效的碎石方法。
Objective: To compare the efficacy and safety of holmium laser lithotripsy and pneumatic lithotripsy in the treatment of upper ureteral calculi. Methods: Ureteroscopic holmium laser and pneumatic lithotripsy were used in the treatment of upper ureteral calculi in 135 cases, of which 51 cases were treated by holmium laser lithotripsy and 84 cases were treated by pneumatic lithotripsy. The curative effect and safety were compared. Results: The primary comminution rates of stones in the holmium laser lithotripsy and pneumatic lithotripsy groups were 90.2% and 76.2%, respectively (P <0.05), and the average operation time was 49.43 minutes (59.24 minutes) shorter than the latter (P < 0.05). One case of ureteral perforation occurred in the group of holmium laser and 6 cases of perforation occurred in the pneumatic ballistic group. Conclusion: The treatment of upper ureteral calculi holmium laser lithotripsy has some advantages over pneumatic lithotripsy and is a safe and effective gravel method.