Abstract：ObjectiveTo compare the efficacy of Holmium:YAG laser and pneumatic lithotripsy in the treatment of upper-ureteral calculi.MethodsFrom July 2013 to July 2017,506 patients with upper-ureteral calculi were randomly divided into two groups,256 cases in holmium laser lithotripsy group and 250 cases in pneumatic lithotripsy group.The successful rate,stone free rate,complications,operative time and hospital stays were compared between the two groups.ResultsThe effective rate of holmium lithotripsy group was 96.88%,which was higher than 86.40%of the pneumatic lithotripsy group,and the difference was statistically significant(P＜0.05).After 4 weeks of postoperative review,the stone free rate of lithotripsy was 96.88%,and the pressure ballistic lithotripsy was 83.60%,and the difference was statistically significant(P＜0.05).The complication rate of holmium lithotripsy group was 10.16%,lesser than 21.60%of the pressure ballistic-lithotripsy group,and the difference was statistically significant(P＜0.05).There was no significant difference between operation time,hospital stays.ConclusionThe efficiency and safety of holmium laser lithotripsy are superior to pneumatic lithotripsy.Holmium lithotripsy is a safe and effective method for treating ureteral calculi,and worthy of being widely applied in clinic.
Wollin TA，Razvi HA，Denstedt JD.Identfying stone composition using infrared analysis of filtered urine after uretercoscopic lithotripsy[J].J Endourol，1999，13（7）：499-503.
[13]
王刚.泌尿系结石微创治疗进展[J].中国临床医生，2011，39（2）：8-10.
[14]
Goel R，Aron M，Kesarwani PK，et al.Percutaneous antegrade removal of impacted upper ureteral calculi：still the treatment of choice in developing countries[J].J Endourol，2005，19（1）：54-57.
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