Abstract: ［Abstract］ Objective To compare the efficacy of electromagnetic extracorporeal shock wave lithotripsy（ESWL）and ureteroscopic lithotripsy in the treatment of ureteral calculi. Methods 150 cases of ureteral calculi were treated in our department from July 2015 to October 2017，and divided into two groups，75 cases were treated by extracorporeal shock wave electromagnetic extracorporeal shock wave lithotripsy（ESWL group），and 75 cases（ureteroscopy group）were treated with ureteroscopic lithotripsy treatment. The clinical effects，stone size，operation time and complications were compared between the two groups. Results For stone size <1.0 cm，success rate in ESWL group and ureteroscopic group were 95.24% and 73.33% respectively，and the difference was statistically significant （P<0.05）. The total success rate in ESWL group and ureteroscopic group were 88.00% and 72.00% ，the difference between the two groups has statistical significance（P<0.05）. The operation time in in ESWL group was shorter than in ureteroscopic group （P<0.05）. The incidence of postoperative complications was 9.33% in the extracorporeal shock wave group and 21.33% in the ureteroscopy group， and the difference was statistically significant（P<0.05）. Conclusion Electromagnetic extracorporeal shock wave lithotripsy is effective for ureteral calculi less than 1.0 cm and can reduces complications.

Key words: electromagnetic extracorporeal shock wave lithotripsy, ureteroscopic lithotripsy, ureteral calculi

摘要： ［摘要］ 目的 比较电磁式体外冲击波碎石与输尿管镜碎石治疗输尿管结石的效果。方法 选择我科室 2015 年 7 月至 2017 年 10 月就诊的 150 例输尿管结石患者，随机分为 2 组，体外冲击波组 75 例采用电磁式体外冲击波碎石术治疗，输尿管镜组 75 例采用输尿管镜碎石术治疗，对比两组临床疗效、结石大小、手术时间及并发症发生情况。结果 体外冲击波组结石直径<1 cm 碎石成功率为 95.24% ，输尿管镜组结石直径<1 cm 为 73.33% ，差异具有统计学意义（P<0.05），结石直径≥1 cm 且<2 cm 和结石直径≥2 cm 两组差异无统计学意义（P>0.05），体外冲击波组总碎石成功率合计 88.00% ，输尿管镜组为 72.00% ，两组差异具有统计学 意义（P<0.05）；体外冲击波组术后并发症发生率为 9.33% ，输尿管镜组为 21.33% ，差异具有统计学意义（P<0.05）。结论 电磁式体外冲击波碎石治疗对于<1.0 cm 的输尿管结石效果较好，且减少并发症发生。

关键词: 电磁式体外冲击波碎石术, 输尿管结石, 输尿管镜碎石术