综上所述,我们的研究显示ESWL 和钬激光碎石术在治疗输尿管结石时各有优缺点,由于ESWL 无创、无需麻醉,经济且无明显并发症,治疗过程中发生移位几率较小,在处理输尿管上段结石时,应首选ESW来治疗,但对于输尿管中下段结石或嵌顿时间较长,怀疑与输尿管粘连或息肉包裹的输尿管上段结石,宜优先选用输尿管镜钬激光行碎石治疗。
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