The comparative study on the effect of extracorporeal shock wave lithotripsy,ureteroscopic lithotripsy and flexible ureteroscopic lithotripsy to single larger than 1 cm in diameter calculus in upper ureter
Liu Jingbo
YanYongji
Feng Yingying
Pang Yuewen
Ma Xuetao
Wu Yabing
Li Yanfeng
Dai Linfeng
Shi Jing
Abstract：Objective:To compare the effect of extracorporeal shock wave lithotripsy (SWL),ureteroscopic lithotripsy (URL)and flexible ureteroscopic lithotripsy (FURL)in the treatment of single larger than 1 cm in di-ameter calculus in upper ureter.Methods:From May 2016 to December 2017,124 cases of single larger than 1 cm in diameter calculus in upper ureter were treated in our hospital,including 22 cases given SWL,59 cases URL 59 and 43 cases FURL.The indexes of success rate of ureteral calculi,the incidence of complications,non-anticipated emergency readmission rate and treatment costs were compared.Results:The success rate of SWL was 27.3%, which was significantly lower than URL and FURL.The incidence of complications in SWL was significantly higher than that in URL and FURL (P<0.05 for both).The URL was better than SWL in terms of success rate,complication rate, unexpected emergency readmission rate and other indicators.There was no significant difference in the incidence of com-plications between URL and FURL (P>0.05).FURL had a maximum one-time success rate of 95.3%,with the lowest non-anticipated readmission rate and statistical significance (P< 0.05),while the treatment cost of FURL was signifi-cantly greater than that of SWL and URL (P<0.05).Conclusions:In comprehensive consideration for single larger than 1 cm in diameter calculus in upper ureter,FURL is the preferred treatment.Combined with the use of the interceptor, URL is also a kind of optimal method,while SWL should be carefully chosen.
Keywords：calculus in upper ureterextracorporeal shock wave lithotripsyureteroscopic lithotripsyflexible ureteroscopic lithotripsyholmium laser
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 181-184 )