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目的:探讨经尿道输尿管镜钬激光碎石术(HL)与气压弹道碎石术(PL)在治疗妊娠期输尿管结石的疗效及安全性。方法:回顾性分析78例妊娠期输尿管结石患者临床资料,其中HL41例,PL37例。结果:HL组在碎石时间及一次结石清除率优于PL组(P<0.01),但术后平均住院天数、术后早产率及并发症发生率两组差异无统计学意义(P>0.05)。结论:HL与PL均是妊娠期输尿管结石较为安全的方法,但HL更为高效,可作为首选。
Objective: To investigate the efficacy and safety of transurethral ureteroscopic holmium laser lithotripsy (HL) and pneumatic lithotripsy (PL) in the treatment of ureteral calculi during pregnancy. Methods: The clinical data of 78 patients with ureteral calculi during pregnancy were analyzed retrospectively, including HL41 cases and PL37 cases. Results: The average time of hospital stay, the rate of postoperative preterm birth and the incidence of complications in HL group were significantly higher than those in PL group (P <0.01) ). Conclusion: Both HL and PL are safer ureteral stones during pregnancy, but HL is more effective and may be the first choice.