Objective To investigate the incidence of ureteral stricture in patients with upper ureteral calculi after ure-teral soft scope holmium laser lithotripsy and analyze its influencing factors.Methods The clinical data of 274 pa-tients with upper ureteral calculi admitted to Kunshan Hospital of Integrated Traditional Chinese and Western Medi-cine from January 2021 to December 2023 were retrospectively selected.All patients were treated by ureteral soft lens holmium laser lithotripsy.According to whether ureteral stenosis occurred,the patients were divided into a narrow group(29 cases)and a non-narrow group(245 cases).The difference of general data between the two groups was com-pared,and multivariate Logistic regression analysis was performed.Results Among 274 patients,29 were diagnosed with ureteral stenosis(10.58%).The results of single factor analysis showed that there were statistically significant dif-ferences in 6 indexes of stone incarceration,urinary tract infection,polyp surrounding stone,operation time,ureteral injury and disease course between the two groups(all P<0.05).Multivariate Logistic regression analysis showed that stone incarceration(OR=2.668,95%CI:1.023-6.963),polyp surrounding stone(OR=6.028,95%CI:2.328-15.612),disease course(OR=6.542,95%CI:2.407-17.779)and ureteral injury(OR=4.083,95%CI:1.562-10.672)were the in-fluential factors for postoperative ureteral stenosis(all P<0.05).Conclusion Patients with upper ureteral calculi have a higher risk of ureteral stenosis after soft lens treatment,and the longer course of disease,polyp wrapping,stone incar-ceration,and ureteral injury may increase the risk of stenosis.Perioperative management and medical decision-making should attach great importance to the influence of these factors.
NETL
NSTL
维普
万方数据
