Analysis of Recurrence and Influencing Factors in Ureteroscopic Holmium Laser Lithotripsy for 1.5-2.0 cm Upper Ureteral Calculi
JIA Bin
XING Weizhi
GU Quanlin
NIE Yuxing
WU Haibo
ZHANG Shengli
LI Qunxiu
ZHOU Yushi
Abstract：Objective To analyze the recurrence of upper ureteral stones(1.5-2.0 cm)treated with ureteroscopic holmium laser lithotripsy and explore the influencing factors of disease recurrence.Methods A total of 280 patients with upper ureteral stones(1.5-2.0 cm)admitted to Henan Provincial Third People's Hospital from January 2023 to December 2024 were selected and underwent ureteroscopic holmium laser lithotripsy.They were followed up for 6 months to assess stone recurrence rates and analyze the influencing factors of stone recurrence.Results Among the 280 patients,the recurrence rate after ureteroscopic lithotripsy was 16.07％(45/280).Univariate and multivariate logistic regression analysis showed that the influencing factors of postoperative recurrence included age＞60 years,body mass index(BMI)≥24 kg·m-2,fatty diet,diabetes mellitus,family history of stones,stone composition(calcium-containing stones),postoperative urinary tract infection,postoperative water intake＜3 000 mL·d-1,and never taking exercise after surgery(P＜0.05).Conclusion Patients with upper ureteral stones of 1.5-2.0 cm have a risk of recurrence after ureteroscopic lithotripsy,and the risk is influenced by factors such as age＞60 years and BMI≥24 kg·m-2.Effective prevention and treatment measures can be implemented based on these influencing factors to improve prognosis.
Keywords：ureteroscopic lithotripsystonesrecurrenceinfluencing factors
Publication Date：2026-05-28
Online Publishing Date：2026-09-12(First online date of this platform, not the publication date of the document)
Pages：4( 1825-1828 )