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目的探讨体外冲击波碎石术(ESWL)和输尿管镜气压弹道碎石术(URS-PL)在上尿路结石治疗中的有效性和临床价值。方法收集本院近1年多上尿路结石患者299例(337侧),根据病情选择ESWL、URS-PL、经皮肾微造瘘或肾盂切开配合URS-PL术。结果ESWL的治愈率为87.8%,URS-PL的一次治愈率为88.2%,肾穿刺造瘘配合URS-PL的有效率为83.3%,肾盂切开配合URS-PL的有效率为93.8%。结论ESWL和URS-PL不仅是治疗上尿路结石有效的微创手段,而且其配合手术应用能减轻手术治疗的损伤性,增加手术的成功率,加之设备相对比较便宜,技术相对容易掌握,适宜在基层医院普及开展。
Objective To investigate the efficacy and clinical value of extracorporeal shock wave lithotripsy (ESWL) and ureteroscopic pneumatic lithotripsy (URS-PL) in the treatment of upper urinary tract calculi. Methods A total of 299 patients (337 sides) with upper urinary tract stones in our hospital for more than one year were enrolled in this study. ESWL, URS-PL, percutaneous nephrostomy or pelvic incision were performed according to the condition. URS-PL was performed. Results The cure rate of ESWL was 87.8%, the primary cure rate of URS-PL was 88.2%, the efficiency of renal puncture and ostomy combined with URS-PL was 83.3% and the efficiency of open pyeloplasty combined with URS-PL was 93.8%. Conclusion ESWL and URS-PL are not only effective minimally invasive devices for the treatment of upper urinary tract stones, but also their combination with surgery can reduce the damage of surgical treatment and increase the success rate of surgery. In addition, the equipment is relatively cheap, the technology is relatively easy to grasp, Popularized in primary hospitals.