Clinical analysis of ESWl for patients with ureteral calculi (report of 1 280 cases)

VernacularTitle:体外冲击波碎石治疗输尿管结石1280例临床分析
Author: Feihe LIN ; Chunfa XIE ; Hailiang GAO ; Boji CAI ; Daoguang CAI
Keywords: Lithotripsy; Ureteral calculi
From: Chinese Journal of Primary Medicine and Pharmacy 2017;24(10):1540-1542
CountryChina
Language:Chinese
Abstract: Objective To investigate the clinical effect, influencing factors of 1 280 patients with ureteral calculi undergoing ESWL.Methods The data of 1 280 patients with ureteral calculi treated by ESWL for the first time in our hospital were retrospectively studied.There were 962 males and 318 females,age 23~78 years old,average 45.7 years old.Stones were located in the left ureter in 810 cases and right ureter in 470 cases.All patients were treated with ESWL for the first time.The lithotripsy rate, stone free rate, influencing factors and the incidence of complications after ESWL were compared over follow up period of there months.Results The overall successful fragmentation rate for all levels of stone in single session achieved 97.6%(1 249/1 280).The failure rate was 2.4%(31/1 280).Conclusion ESWL is indicated as a first choice in the treatment for patients with ureteral stones.The concrete impacted in ureteral mucosa is the key cause of failure to ESWl in ureteric stone.Once the fragments has not been cleared after ESWL, it suggests that other therapy modality should be selected.