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目的探讨体外冲击波碎石术(ESWL)联合输尿管镜气压弹道碎石术(URSL)治疗输尿管上段嵌顿性结石的临床效果。方法采用先行体外冲击波碎石治疗,体外碎石后24H内行经输尿管镜气压弹道碎石术治疗输尿管上段嵌顿性结石患者72例。结果一次碎石成功率90.3%(65/72),一月结石排净率94.4%(68/72)。结论体外冲击波碎石联合输尿管镜气压弹道碎石治疗输尿管上段嵌顿性结石能明显提高疗效、缩短疗程及节省费用,可作为输尿管上段嵌顿性结石的首选方法。
Objective To investigate the clinical efficacy of extracorporeal shock wave lithotripsy (ESWL) combined with ureteroscopic pneumatic lithotripsy (URSL) in the treatment of incarcerated upper ureteral calculi. Methods The first extracorporeal shock wave lithotripsy was used to treat 72 cases of upper ureteral incarcerated stones treated by ureteroscopic pneumatic lithotripsy 24 hours after gravel. Results The success rate of primary gravel was 90.3% (65/72), and the stone clearance rate was 94.4% (68/72) in January. Conclusion Extracorporeal shock wave lithotripsy combined with ureteroscopic pneumatic lithotripsy for upper ureteral incarcerated stones can significantly improve the curative effect, shorten the course of treatment and save costs, and can be used as the preferred method for incarcerated ureteral calculi.