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目的探讨输尿管结石的治疗方法。方法采用体外震波碎石(ESWL)与输尿管镜下气压弹道碎石联合治疗917例输尿管结石,其中单侧结石733例,双侧结石184例,一般先行ESWL,ESWL无法完成或治疗无效时需要用输尿管镜下气压弹道碎石术。结果结石总排净率为99.2%(910/917)。其中ESWL组结石总排净率为93.5%(858/917);气压弹道碎石组结石总排净率为88.1%(52/59)。结论ESWL与输尿管镜下气压弹道碎石术联合治疗输尿管结石安全有效,是理想的治疗方法。
Objective To investigate the treatment of ureteral calculi. Methods 917 cases of ureteral calculi were treated with extracorporeal shock wave lithotripsy (ESWL) and ureteroscopic pneumatic lithotripsy. There were 733 unilateral stones and 184 bilateral stones. ESWL was generally given first, ESWL could not be completed or the treatment was ineffective Ureteroscopic pneumatic lithotripsy. Results The total stone discharge rate was 99.2% (910/917). Among them, the total discharge rate of stone in ESWL group was 93.5% (858/917); the total replacement rate of stone in pneumatic lithotripsy group was 88.1% (52/59). Conclusion The combination of ESWL and ureteroscopic pneumatic lithotripsy in the treatment of ureteral calculi is safe and effective, which is an ideal treatment.