Evaluation of the efficacy of early ureteroscopic holmium laser lithotripsy for renal colic caused by ureteral calculi
ZHANG Li
GAO Lei
SHI Xiaokai
LU Chao
BAI Yu
GAO Shenglin
ZUO Li
ZHANG Lifeng
Abstract：Objective To investigate the effect of different stages of renal colic on the treatment of middle and lower ureteral calculi with ureteroscopic holmium laser lithotripsy.Methods Data of 154 patients with middle and lower ureteral calculi who underwent ureteroscopic holmium laser lithotripsy were retrospectively collected and patients were divided into two groups.115 cases in the observation group were treated with surgery within 14 days of the first attack of renal colic,and 39 cases in the control group were treated with surgery more than 14 days after renal colic attack.The operation time,probability of ureteral stricture,primary stone clearance rate,preoperative infection and extubation time were compared between the two groups.Results The operation time of the control group was significantly longer than that of the observation group(P<0.05),and the incidence of ureteral stricture was higher than that of the observation group(P<0.05).There were no significant differences in the stone clearance rate,preoperative infection and extubation time(P>0.05)between the two groups.Conclusion Ureteroscopic laser lithotripsy for patients with middle and lower ureteral calculi within 14 days after the onset of renal colic can shorten the operation time,reduce the incidence of ureteral stricture,and relieve the pain of patients in time.
Keywords：ureteral calculinephric colictransurethral ureteroscopic lithotripsy
Publication Date：2024-02-20
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 32-35 )