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目的:比较钬激光碎石术(HLL)与体外冲击波碎石(ESWL)治疗急性输尿管结石的疗效和实用性。方法:采用HLL治疗急性输尿管结石109例,ESWL碎石763例。比较2组治疗时间、单次治愈率的差异。结果:ESWL碎石时间平均为16min,HLL时间平均为27min,两者比较差异有统计学意义(P<0.05)。ESWL单次成功率82.4%(629/763),HLL单次成功率为90.8%(99/109),两者比较差异有统计学意义(P<0.05)。结论:ESWL简单、有效,是简单性急性输尿管结石首选的治疗方法。HLL单次成功率较高,是复杂性急性输尿管结石首选的治疗方法。
Objective: To compare the efficacy and practicability of holmium laser lithotripsy (HLL) and extracorporeal shock wave lithotripsy (ESWL) in the treatment of acute ureteral calculi. Methods: The treatment of acute ureteral calculi with HLL 109 cases, 763 cases of ESWL gravel. Compare the difference of two groups of treatment time and single cure rate. Results: The average time of ESWL gravel was 16min and the average HLL time was 27min. There was significant difference between the two groups (P <0.05). The single success rate of ESWL was 82.4% (629/763), and the single success rate of HLL was 90.8% (99/109). There was significant difference between the two groups (P <0.05). Conclusion: ESWL is simple and effective and is the first choice for the treatment of acute ureteral calculi. HLL single success rate is high, the complexity of the treatment of acute ureteral stones of choice.