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目的 :比较钬激光碎石术 (L L)、体外冲击波碎石术 (ESWL)、气压弹道碎石术 (PL)治疗输尿管结石的疗效和安全性。方法 :总结 ESWL、PL、L L 治疗输尿管结石的临床资料 ,其中 ESWL 15 0例、PL 6 6例、L L 5 0例。结果 :L L 单次手术碎石率为 96 .0 % ,PL 为 6 0 .6 % ,ESWL 为 5 0 .7% ;L L 平均结石排净时间为 2 2 d,PL 为 40d,ESWL为 90 d;L L组无明显并发症 ,PL组有 2例发生穿孔 ,ESWL组有 3例发生石街。结论 :L L在效率及安全性方面明显优于 PL与 ESWL。 L L是治疗输尿管结石的一种较新、高效、安全的方法。
Objective: To compare the efficacy and safety of holmium laser lithotripsy (L L), extracorporeal shock wave lithotripsy (ESWL) and pneumatic lithotripsy (PL) in the treatment of ureteral calculi. Methods: The clinical data of ESWL, PL and L L in the treatment of ureteral calculi were summarized. There were 150 cases of ESWL, 6 cases of PL 6 and 50 cases of L L. Results: The rate of LL single operation was 96.0%, PL was 60.6% and ESWL was 50.7%. The average discharge time of LL was 22 days, PL was 40 days and ESWL was 90 days There was no obvious complication in LL group, 2 cases in PL group and Stone Street in ESWL group. Conclusion: L L is superior to PL and ESWL in terms of efficiency and safety. L L is a relatively new, efficient and safe method of treating ureteral calculi.