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目的 :比较经输尿管镜气压弹道碎石术 (TUPL)与体外冲击波碎石术 (ESWL)治疗输尿管中下段结石的结石排净率和并发症 ,方法 :总结治疗输尿管中下段结石 40 2例的临床资料 ,其中TUPL组 2 17例 ,ESWL组185例。结果 :TUPL组术后第 4周结石排净率为 95.9% ,高于ESWL组的 81.1% ,P <0 .0 1;TUPL组主要并发症为输尿管穿孔或粘膜严重损伤 ( 4 .1% ) ,ESWL组主要并发症为再次治疗率高 ( 13 .5% )。结论 :TUPL治疗输尿管中下段结石的疗效优于ESWL
OBJECTIVE: To compare the stone removal rate and complications of ureteral calculi in the lower ureter treated by ureteroscopic pneumatic lithotripsy (TUPL) and extracorporeal shock wave lithotripsy (ESWL). Methods: To summarize the clinical data of 40 2 cases of middle and lower ureteral calculi Data, including TUPL group 2 17 cases, ESWL group 185 cases. Results: The stone clearance rate in the TUPL group was 95.9% at 4 weeks after operation, which was significantly higher than that of ESWL group (81.1%, P <0.01). The main complication of TUPL group was ureteral perforation or severe mucosal injury (4.1%) The main complication of ESWL was high rate of re-treatment (13.5%). Conclusion: TUPL is superior to ESWL in the treatment of lower ureteral calculi