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首页> 外文期刊>Journal of endourology >Pneumatic lithotripsy versus laser lithotripsy in the endoscopic treatment of ureteral calculi.
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Pneumatic lithotripsy versus laser lithotripsy in the endoscopic treatment of ureteral calculi.

机译：气压弹道碎石术与激光碎石术在输尿管结石内镜治疗中的比较。

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摘要

PURPOSE: To compare the efficacy, safety, and features of pneumatic lithotripsy (PL) with those of laser lithotripsy (LL) and present our clinical experience in the endoscopic management of ureteral calculi. PATIENTS AND METHODS: From August 1994 to February 2000, 285 consecutive patients underwent endoscopic lithotripsy with either the Swiss Lithoclast pneumatic lithotripter (145 patients) or the Ho:YAG laser lithotripter (140 patients) for the treatment of ureteral calculi. RESULTS: In one single session, the overall successful stone fragmentation rate of LL was higher than that of PL (95.7% v 69.7%; P < 0.01). The average time to stone-free status was shorter for LL than for PL (18 days v 31 days; P < 0.01). No major complications were observed in LL, while five ureteral perforations were encountered in PL. CONCLUSIONS: Laser lithotripsy has advantages over PL in high efficiency of stone fragmentation and a low complication rate. Laser lithotripsy is a powerful, effective, and safe treatment modality for ureteral calculi.
机译：目的：比较气动碎石术（PL）和激光碎石术（LL）的疗效，安全性和特点，并介绍我们在输尿管结石的内窥镜治疗中的临床经验。患者与方法：自1994年8月至2000年2月，连续285例患者接受了瑞士碎石破壁气压弹道碎石术（145例）或Ho：YAG激光碎石术（140例）的内镜碎石术治疗输尿管结石。结果：在一次治疗中，LL的总成功碎石率高于PL（95.7％vs 69.7％; P <0.01）。 LL的平均无结石时间比PL短（18天vs 31天; P <0.01）。在LL中未观察到重大并发症，而在PL中遇到了五个输尿管穿孔。结论：激光碎石术比PL术具有碎石效率高和并发症发生率低的优势。激光碎石术是一种有效，安全的输尿管结石治疗方法。

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