Abstract
To compare the clinical effects of three minimally invasive surgeries on the treatment of impacted upper ureteral calculi. 135 patients with impacted upper ureteral calculi were selected and randomly divided into three groups (Group A-C) (n=45), which were treated with transurethral ureteroscopic lithotripsy, minimally invasive percutaneous nephrolithotomy, and retroperitoneal laparoscopic ureterolithotomy respectively. Relevant results of the three groups were compared. The surgery time of Group C was significantly longer than those of Group A and Group B (P < 0.05). The postoperative hospitalization time of Group B was significantly longer than those of Group A and Group C (P < 0.05). 37.78% (17/45) of Group A patients required extracorporeal shock wave lithotripsy, being significantly more than those in Group B (6.67%, 3/45) and Group C (0, 0/45) (P < 0.05). The postoperative calculus clearance rate of Group A (51.11%, 82.22%) was significantly lower than those of Group B (91.11%, 97.78%) and Group C (93.33%, 100%) (P < 0.05). The incidence rates of postoperative complications in Group A-C were 11.11% (5/45), 8.89% (4/45) and 6.67% (3/45) respectively without significant differences (P > 0.05). The three surgical methods for impacted upper ureteral calculi should be selected according to practical conditions to improve therapeutic effects and to ensure safe surgery.
Highlights
With continuous development of China’s economy and society, great changes have taken place in Chinese people’s diet and lifestyle, which is accompanied by increasing incidence of lithiasis in urinary system, rendering it to be a common and frequently-occurring disease in clinic.[1]
As minimally-invasive surgical techniques continue to develop, there are a variety of methods for impacted upper ureteral calculi, which have achieved relatively satisfactory clinical efficacy
This study compared the effects of three minimally-invasive surgical methods on the treatment of impacted upper ureteral calculi performed in our hospital, aiming to provide a reference for the clinical development of therapeutic strategies
Summary
With continuous development of China’s economy and society, great changes have taken place in Chinese people’s diet and lifestyle, which is accompanied by increasing incidence of lithiasis in urinary system, rendering it to be a common and frequently-occurring disease in clinic.[1]. In case of impacted ureteral calculi, urination is rather difficult due to ureteral obstruction, which may lead to hydronephrosis.[2] If timely intervention is not possible to relieve. Effects of minimally invasive surgeries urinary obstruction, the patient’s renal function of the affected side may undergo progressive decline with extending course of hydronephrosis, posing a serious threat to the health of patients.[3] As minimally-invasive surgical techniques continue to develop, there are a variety of methods for impacted upper ureteral calculi, which have achieved relatively satisfactory clinical efficacy. This study compared the effects of three minimally-invasive surgical methods on the treatment of impacted upper ureteral calculi performed in our hospital, aiming to provide a reference for the clinical development of therapeutic strategies
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