Objective To compare the efficacy of different emergency lithotripsy techniques in patients with mid-to-distal ureteral stones accompanied by acute renal colic.Methods A retrospective analysis was conduct-ed on 150 cases of mid-to-distal ureteral stones with acute renal colic treated in our hospital from January 2020 to December 2023.Patients were divided into two groups based on the lithotripsy method:the ureteroscopic lithotrip-sy(USL)treatment group(observation group,n=75)and the extracorporeal shock wave lithotripsy(ESWL)treat-ment group(control group,n=75).Hospital-related indicators,stone clearance rate,and complication rates were compared between the two groups.Results The observation group had shorter surgery time and postoperative hematuria duration compared to the control group(P＜0.001).However,the observation group had longer hospital stays and higher hospitalization costs than the control group(P＜0.001).The stone clearance rate in the observation group was 94.67％,significantly higher than that in the control group(81.33％)(P＜0.05).The complication rate in the observation group was 8.00％,not significantly different from that in the control group(12.00％)(P＞0.05).Conclusion For mid-to-distal ureteral stones,USL can shorten surgery time and reduce hematuria duration,of-fering a higher stone clearance rate and safety,albeit at a higher cost.
维普
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