输尿管镜下三种不同碎石方法治疗输尿管上段结石（长径≤1.0 cm）的效果对比

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Abstract Objective To compare the effectiveness of three different methods of lithotripsy under ureteroscope in treatment of ureteral calculi(length less than or equal to 1.0 cm).Methods From February 2015 to February 2017,169 cases of upper ureteral calculi(length less than or equal to 1.0 cm)treated in our hospital were selected as the research subjects,and divided into group A(60 cases),group B(52 cases)and group C(57 cases)according to a random table method.Group A was treated with ultrasonic lithotripsy,group B treated with ureteroscopic pneumatic ballistic lithotripsy,and group C was treated with holmium laser lithotripsy.The success rates,the rates of stone removal,the amount of bleeding in the operation,the time of postoperative hospitalization,and the incidences of complications of the three groups were compared.Results In group A and group C,the success rate of lithotripsy was higher than that in group B,the difference was statistically significant(P＜0.05),but there was no significant difference between group A and group C(P＞0.05).The rate of stone exclusion in group A was higher than that in group B and group C,the differences were statistically significant(P＜0.05).The amount of bleeding in group A was less than that in group B and group C,the differences were statistically significant (P＜0.05).The time of hospitalization in group A was shorter than group B and group C,the differences were statistically significant(P＜0.05).The incidence of complications in group A was lower than that in group B and group C,the differences were statistically significant (P＜0.05),and there was no statistical difference between group B and group C (P＞0.05).Conclusion The upper ureteral calculi(length less than or equal to 1.0 cm)patients treated with ureteroscopic lithotripsy in the treatment of ultrasound has high successful rate one time,with less bleeding,faster postoperative recovery and less complications and obvious advantages.

Key words： Ureteroscopy Ballistic lithotripsy Ultrasonic lithotripsy Holmium laser lithotripsy Upper ureteral calculi

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	Articles by authors
	SHI Chong-jun
	YANG Wei-zhong
	YAN Ji-yin
	DENG Jin-biao
	ZHANG Dong-jiang
	CAI Hua-ge

Cite this article:

SHI Chong-jun,YANG Wei-zhong,YAN Ji-yin, et al. Comparison ofthe three differentmethods oflithotripsy under ureteroscope in treatment of ureteral calculi(length less than or equal to 1.0 cm)the effect of contrast[J]. 中国当代医药, 2018, 25(10): 71-73转76.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2018/V25/I10/71

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