CAJ | 학술논문

　　目的探讨气压弹道碎石术与钬激光碎石术在输尿管结石治疗中的临床应用差异。方法选择本院2011年11月至213年2月收治的输尿管结石患者200例，随机分为2组，各100例，分别接受输尿管镜下气压弹道碎石术和钬激光碎石术治疗。结果 B组患者在手术时间和住院时间方面均显著低于A组（P＜0.05），两组一次性碎石成功率分别为74.0%和90.0%（P＜0.05），结石排净率分别为88.0%和97.0%（P＜0.05），并发症率分别为5.0%和3.0%（P＞0.05）。结论两种输尿管结石的微创碎石术各具特色，其中钬激光碎石术碎石效果更佳，效率高，应该根据具体的情况合理选择。
　　목적탐토기압탄도쇄석술여화격광쇄석술재수뇨관결석치료중적림상응용차이。방법선택본원2011년11월지213년2월수치적수뇨관결석환자200례，수궤분위2조，각100례，분별접수수뇨관경하기압탄도쇄석술화화격광쇄석술치료。결과 B조환자재수술시간화주원시간방면균현저저우A조（P＜0.05），량조일차성쇄석성공솔분별위74.0%화90.0%（P＜0.05），결석배정솔분별위88.0%화97.0%（P＜0.05），병발증솔분별위5.0%화3.0%（P＞0.05）。결론량충수뇨관결석적미창쇄석술각구특색，기중화격광쇄석술쇄석효과경가，효솔고，응해근거구체적정황합리선택。
Objective To comparison of ureteroscopic pneumatic lithotripsy and holmium laser lithotripsy in treating ureteral calculi. Methods 200 patients with ureteral calculi of our hospital from November 2011 to February 2013 were divided into 2 groups and each for 100, and were treated with ureteroscopy pneumatic lithotripsy and holmium laser lithotripsy respectively. Results Operation time and hospitalization time of group B were lower than group A(P<0.05), the disposable gravel success rate of two groups were 74.0% and 90.0%(P<0.05), the stones drained rate were 88.0% and 97.0%(P<0.05), and the complication rate of two groups were 5.0% and 3.0%(P>0.05). Conclusion Two minimally invasive ureteral calculi lithotripsy have their own different characteristics, and holmium laser lithotripsy in treating ureteral calculi has the virtue of better effect and higher efficiency, the reasonable choice should be based on the specific situation.