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目的 比较体外冲击波碎石术 (ESWL)与输尿管镜气压弹道碎石术 (pneumaticlithotripsy ,PL)治疗输尿管下段结石的疗效和安全性。 方法 总结ESWL和PL治疗输尿管下段结石 3 75例的临床资料 ,其中ESWL组 190例 ,PL组 185例。结果 ESWL组单次碎石成功率为 60 .5 %(115 /190 ) ,PL组为 96.2 %(178/185 ) ;ESWL组术后 4周结石排净率为 66.3 %(12 6/190 ) ,PL组为 98.3 %(175 /178)。结论 PL治疗输尿管下段结石的疗效明显优于ESWL。
Objective To compare the efficacy and safety of extracorporeal shock wave lithotripsy (ESWL) and pneumaticlithotripsy (PL) in the treatment of lower ureteral calculi. Methods The clinical data of 375 cases of lower ureteral calculi treated with ESWL and PL were summarized, including 190 cases in ESWL group and 185 cases in PL group. Results The success rate of single gravel in ESWL group was 60.5% (115/190) and that of PL group was 96.2% (178/185). The ESWL group had a stone clearance rate of 66.3% (12 6/190) 4 weeks after operation. , And the PL group was 98.3% (175/178). Conclusion PL treatment of lower ureteral calculi was significantly better than ESWL.