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[目的]探讨输尿管镜下气压弹道碎石(URL)和体外冲击波碎石(ESWL)治疗老年输尿管结石的疗效。[方法]回顾性分析2007年1月～2010年12月在某院分别采用URL与ESWL治疗的输尿管结石老年患者临床资料。[结果]URL组总成功率和中下段结石成功率明显高于ESWL组,差异有统计学意义(均P﹤0.01);上段结石成功率低于ESWL组,差异有统计学意义(P﹤0.05)。URL组发热和肾绞痛均明显少于ESWL组,差异有统计学意义(均P﹤0.01);恶心呕吐、肉眼血尿和输尿管穿孔差异均无统计学意义(均P﹥0.05)。[结论URL在微创性上更有优势,ESWL应作为老年输尿管上段结石的首选,URL应作为老年输尿管中下段结石的首选。
[Objective] To evaluate the efficacy of ureteroscopic pneumatic lithotripsy (URL) and extracorporeal shock wave lithotripsy (ESWL) in the treatment of senile ureteral calculi. [Methods] The clinical data of elderly patients with ureteral calculi treated with URL and ESWL in a hospital from January 2007 to December 2010 were retrospectively analyzed. [Results] The success rate of the URL assembly in the middle and lower segments was significantly higher than that in the ESWL group (all P <0.01), and the success rate of the stones in the upper segment was lower than that in the ESWL group (P <0.05) ). The incidence of fever and renal colic in the URL group were significantly lower than those in the ESWL group (all P <0.01). There was no significant difference in nausea and vomiting, gross hematuria and ureter perforation between the two groups (all P> 0.05). [Conclusion The URL has more advantages in minimally invasive surgery. ESWL should be the first choice for upper ureteral calculi in elderly patients, and URL should be the first choice of middle and lower ureteral calculi.