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目的:探讨输尿管镜、ESWL、哈乐3种方式治疗输卵管下段结石的效果。方法:收治输尿管下段结石患者552例,对其临床治疗方式进行综合性评估。结果:ESWL组一次碎石成功率低于URL组(P<0.05),哈乐组排石成功率90.6%(48/53)。结论:输尿管镜碎石术是治疗输尿管下段结石的一种高效、安全的治疗手段;哈乐的排石效果大体与输尿管镜相当,并且可以很好地缓解疼痛;输尿管镜碎石术与哈乐药物治疗较ESWL有更高的碎石成功率及结石排净率。
Objective: To investigate the effect of ureteroscopy, ESWL and HAL in treating lower tubal stones. Methods: 552 cases of lower ureteral calculi patients, the clinical treatment of a comprehensive assessment. Results: The success rate of primary gravel in ESWL group was lower than that in URL group (P <0.05), and the success rate of row stone in Hale group was 90.6% (48/53). Conclusions: Ureteroscopic lithotripsy is an effective and safe treatment for the lower ureteral calculi. The effect of rowing stone is generally comparable with that of ureteroscopy and can relieve the pain well. Ureteroscopic lithotripsy and Halo Drug treatment has a higher gravel success rate and stone clearance rate than ESWL.