关键词: 体外冲击波碎石术；经尿道输尿管镜钬激光碎石术；泌尿系结石；临床疗效

Abstract: Objective To investigate the effect of extracorporeal shock wave lithotripsy (ESWL) and transurethral ureteroscopic holmium laser lithotripsy (URLL) in the treatment of urinary calculi.Methods From January 2021 to December 2023,162 patients with urinary calculi were admitted and divided into a control group and an observation group according to the lithotripsy method,with 81 cases in each group.The patients in the control group and in the observation group received ESWL and URLL respectively.The stone clearance effect,postoperative recovery and postoperative complications of the two 〖CM(41*3/4〗groups were compared,and the VAS score for pain before and after treatment was measured.Results The total effective rates of stone removal in the observation group and the control group were 96.30% and 86.42% respectively. There was a statistically significant difference between the two groups (P<0.05).The time of first getting out of bed for activities in the observation group and the control group was (25.15±4.37) hours and (31.74±5.12) hours respectively,the hospital stay was (8.59±3.13) days and (11.62±3.84) days respectively,and the incidence of postoperative complications was 11.11% and 23.46% respectively. There was a statistically significant difference between the two groups (P<0.05).The VAS scores of pain in both groups at 4 hours,12 hours,24 hours and 7 days after treatment were lower than those before treatment,and the VAS scores of patients in the observation group at 4 hours,12 hours and 24 hours after treatment were significantly lower than those in the control group,and the differences were statistically significant (P<0.05).Conclusion Transurethral ureteroscopic holmium laser lithotripsy is effective in removing urinary calculi,reducing postoperative pain compared with extracorporeal shock wave lithotripsy and fewer postoperative complications.

Key words: extracorporeal shock wave lithotripsy;transurethral ureteroscopic holmium laser lithotripsy;urinary calculi;clinical efficacy