Effect of ureteral wall thickness at the site of ureteral stones on the clinical efficacy of ureteroscopic lithotripsy
- VernacularTitle:输尿管结石处管壁厚度对输尿管镜碎石取石术临床效果的影响
- Author:
Wei PU
1
;
Jian JI
;
Zhi-Da WU
;
Ya-Fei WANG
;
Tian-Can YANG
;
Lyu-Yang CHEN
;
Qing-Peng CUI
;
Xu XU
;
Xiao-Lei SUN
;
Yuan-Quan ZHU
;
Shi-Cheng FAN
Author Information
- Keywords: ureteral stones; ureteral wall thickness; ureteroscopic lithotripsy; prediction
- From: Journal of Regional Anatomy and Operative Surgery 2024;33(12):1077-1081
- CountryChina
- Language:Chinese
- Abstract: Objective To investigate the effect of varying ureteral wall thickness(UWT)at the site of ureteral stones on the clinical efficacy of ureteroscopic lithotripsy(URL).Methods The clinical data of 164 patients with ureteral stones in our hospital were retrospectively analyzed.According to different UWT,the patients were divided into the mild thickening group(84 cases,UWT<3.16 mm),the moderate thickening group(31 cases,UWT 3.16 to 3.49 mm),and the severe thickening group(49 cases,UWT>3.49 mm),and the differences of clinical related indicators among the three groups were compared.Results The incidence of postoperative renal colic and leukocyte disorder in the mild thickening group and the moderate thickening group were lower than those in the severe thickening group,and the differences were statistically significant(P<0.05).The postoperative catheterization time in the mild thickening group and the moderate thickening group were shorter than that in the severe thickening group,and the incidences of secondary lithotripsy,residual stones and stone return to kidney in the mild thickening group and the moderate thickening group were lower than those in the severe thickening group,with statistically significant differences(P<0.05).The length of hospital stay and hospitalization cost in the mild thickening group and the moderate thickening group were shorter/less than those in the severe thickening group,with statistically significant differences(P<0.05).Conclusion With the increase of UWT(especially when UWT>3.49 mm),the incidence of postoperative complications and hospitalization cost of URL increase to varying degrees,and the surgical efficacy decreases.In clinical work,UWT measurement holds potential value in predicting the surgical efficacy and complications of URL.
