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目的：对比分析气压弹道碎石术和钬激光碎石的疗效。方法选取患者130例，根据患者意愿，其中65例采用钬激光进行碎石，为实验组；另外65例患者采用气压弹道碎石术，为对照组。记录并比较两组患者的手术时间、结石清除率、并发症等，分析其疗效。结果实验组碎石效果较好，术后检查时未发现明显的结石残留，患者术中和术后出血少，手术时间较短；而对照组患者术中出血现象严重，术后迟发性出血病例较多。结论气压弹道碎石和钬激光碎石术各有利弊，其中钬激光碎石手术时间短，并发症相对较少，值得推广使用。“,”Objective comparative analysis of pneumatic lithotripsy and holmium laser lithotripsy effect. The method selected 130 patients, according to the wishes of patients, including 65 cases of holmium laser lithotripsy selected test group; another 65 cases of patients with a pneumatic lithotripsy for the control group. Recorded and compared the two groups were operative time, stone clearance rate, complications, analyze its efficacy. Results The gravel is better, after inspection found no significant residual stones, surgery patients and less postoperative bleeding, shorter operative time; while the control group of patients with serious blood loss, postoperative delayed more cases of bleeding. Conclusion pneumatic lithotripsy and holmium laser lithotripsy have advantages and disadvantages, which holmium laser surgery a short time, relatively few complications, should be introduced.