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 Jingbo1, Yan Yongji1, Feng Yingying1, Pang Yuewen1, Ma Xuetao1, Wu Yabing1, Li Yanfeng1, Dai Linfeng1, Shi Jing1
1Department of Urology, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing 100007, China
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 diameter 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 complications 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 significantly 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.
刘景波, 闫永吉, 冯营营, 庞月文, 马雪涛, 吴雅冰, 李琰峰, 戴林枫, 时京. 三种方法治疗直径大于1 cm单发输尿管上段结石的比较研究[J]. 微创泌尿外科杂志, 2018, 7(3): 181-184.
Liu Jingbo, Yan Yongji, Feng Yingying, Pang Yuewen, Ma Xuetao, Wu Yabing, Li Yanfeng, Dai Linfeng, Shi Jing. 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. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2018, 7(3): 181-184.
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