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【目的】探讨三种碎石术治疗复杂性膀胱结石的价值。【方法】分析本院收治的126例复杂性膀胱结石患者手术治疗的临床资料，126例中，其中单发结石55例，直径2．5～4．7 cm，多发结石71例，最小径≥1．0 cm；采用气压弹道碎石33例，瑞士 EMS公司碎石清石系统（EMS）超声碎石51例，钬激光治疗42例，分别对三组患者术中冲水量、出血量、手术时间、术后住院时间、膀胱黏膜的损伤程度及术后膀胱痉挛比例进行比较分析。【结果】126例均经尿道一次性清除结石，无中转手术。钬激光组除手术时间较长外，其余各项指标均优于其它两组（P＜0．05），EMS组除冲水量外，其余各项指标与气压弹道组比较差异无显著性（P ＞0．05）。【结论】钬激光治疗复杂性膀胱结石可有效避免术中结石漂移、冲水过多，减少膀胱损伤、术后膀胱痉挛和术后住院日。“,”[Obj ective]To explore the value of three kinds of lithotripsy in the treatment of complicated bladder calculi.[Methods]Clinical data of 1 2 6 patients with complicated bladder calculus undergoing surgical treatment in our hospital were analyzed.Among 126 patients,55 patients were single stones with diameter 2.5~4.7cm,and 71 patients were multiple stones with minimum diameter≥1.0cm.Of all patients,33 patients underwent pneumatic lithotripsy,and 5 1 patients underwent ultrasonic lithotripsy by using Swiss EMS sys-tem,and 42 patients underwent holmium laser.Iintraoperative flushing water volume,blood loss,operative time,postoperative hospital stay,bladder mucosal inj ury and postoperative cystospasm ratio were analyzed and compared among 3 groups.[Results]Transurethral bladder calculi of 126 patients were removed for one time. None turned to the operation.Except long operative time in holmium laser group,the other indicators were better than the other groups(P0.05).[Conclu-sion]Holmium laser for the treatment of complicated bladder calculi can effectively prevent intraoperative stone drift and too more flushing water,and reduce bladder inj ury,postoperative bladder spasms and postoperative hospital stay.