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目的探讨输尿管镜气压弹道碎石术联合体外冲击波碎石术(ESWL)治疗输尿管上段结石的疗效。方法应用输尿管镜气压弹道碎石术联合ESWL治疗输尿管上段结石68例并观察疗效。结果68例输尿管上段结石患者中,1次碎石成功率为73.5%(50/68),联合治疗总成功率为92.6%(63/68),5例碎石失败。结论采用此联合治疗的方法具有成功率高、损伤小、易操作等优点,是治疗输尿管上段结石较满意的治疗方法。
Objective To investigate the efficacy of ureteroscopic pneumatic lithotripsy combined with extracorporeal shock wave lithotripsy (ESWL) in the treatment of upper ureteral calculi. Methods Ureteroscopic pneumatic lithotripsy combined with ESWL treatment of 68 cases of upper ureteral calculi and observe the effect. Results Among the 68 patients with upper ureteral calculi, the success rate of primary lithotripsy was 73.5% (50/68). The total success rate of combined therapy was 92.6% (63/68). Five cases failed. Conclusion The combined treatment has the advantages of high success rate, small injury, easy operation and so on. It is a satisfactory treatment for upper ureteral calculi.