The clinical analysis of 300 Patients with Lower Ureteral Calculi / 中国综合临床

ABSTRACT

ObjectiveTo evaluate the treatment of lower ureteral calculi.Methods Clinical data of 300 cases of lower ureteral calculi were retrospectively analyzed.Among the 300 patients with lower ureteral calculi,171 patients were treated with extracorporeal shock wave lithotripsy (ESWL),95 patients were treated with ureteroscopic lithotripsy (URL),34 patients were treated with laparoscopic ureterolithotomy.ResultsThe clearances of the calculus was 91.81％ with the treatment of ESWL,86.32％ with the treatment of URL and 100％ with the treatment of laparoscopic ureterolithotomy after one month of the treatments.ConclusionESWL is the preferred methods for the treatment of lower ureteral stones.But when the stones≥ 1 cm,URL is superior to ESWL in efficacy; Laparoscopic ureterolithotomy is effective for the treatment of lower ureteral stones which combined with ureteral stricture or ureteral polyps,and with serious incarceration,granulation tissue wrapped around the stone.