Comparison of the effect of ultrasound-guided ESWL and UPL in the treatment of ureteral stones / 中国基层医药

ABSTRACT

Objective To compare the effect and adverse reaction of ultrasound-guided ESWL and UPL in the treatment of ureteral stones.Methods According to the different treatment method,80 patients with ureteral stones were divided into URL group and ESWL group.The effective rate and the incidence rate of complications were compared between the two groups.Results In ESWL group,the success rate for upper gravel was 92.3％,the success rate of lower ureteral stone lithotripsy was 55.6％,there was significant difference between them(x2 =0.049,P ＜ 0.05).In UPL group,the success rate of lower ureteral stone lithotripsy was 96.0％,and the total success rate of stone was 87.5％,while those in ESWL group were 55.6％ and 75.0％,the differences were significant between the two groups(x2 =0.001,0.032,all P ＜ 0.05),but there was no significant difference in the success rate of upper gravel between the two groups(P ＞ 0.05).The incidence rate of hematuria in ESWL group was 82.5％,which was significantly lower than 97.5 ％ in the UPL group (x2 =0.034,P ＜ 0.05).The incidence rates of fever,pain in renal region,nausea and vomiting were 17.5％,42.5％,37.5％ in the ESWL group,which were significandy higher than those in the UPL group (x2 =0.023,0.033,0.004,all P ＜ 0.05).Conclusion Compared with ESWL,UPL has high success rate of lower ureteral stone lithotripsy,less complications.