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Published on: March 6, 2018
[Comparative study of pneumatic lithotripsy and holmium laser lithotripsy for ureteral stones]
Xue-Chao Li1, Ying Liu, Jiang-Gen Yang
1Department of Urology, Shenzhen People's Hospital, Second Clinical Medical College, Jinan University, Shenzhen 518020, China. Lixuechao189@126.com
Objective:
To compare the efficacy and safety of endoscopic laser lithotripsy (LL) and endoscopic pneumatic lithotripsy (PL) for ureteral stones.
Methods:
We retrospectively analyzed the clinical data of 415 patients with ureteral calculi treated with endoscopic laser lithotripsy (n = 214 ) and pnumatic lithotripsy (n = 201 ).
Results:
The overall successful fragmentation rate of all ureteral stones in a single session of the LL group was higher than that of the PL group (95% vs. 69%, P < 0.01). The average stonefree time of the LL group was shorter than that of the PL group (18 days vs. 31 days, P < 0.01). No complications such as perforation during the operation were observed in the LL group whereas 3 perforations occurred in the PL group.
Conclusion:
LL has its advantage over PL in its better clinical effect for the stone fragmentation and low complication rate and is an effective and safe treatment for ureteral stones.
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