Treatment of 872 cases for acute ureteral calculi

Objective:To compare the efficacy and practicability of Holmium laser lithotripsy with extracorporeal shock wave lithotripsy for acute ureteral calculi.Method:109 acute ureteral calculi were performed with holmium:YAG laser lithotripsy;while 763 patients were performed with extracorporeal shock wave lithotripsy.The treatment duration and stone-free rate of were compared between the two groups.Result:The mean operation duration with extracorporeal shock wave lithotripsy for acute ureteral calculi(16min)was shorter than that with holmium laser lithotripsy(27min)(P0.05).The stone-free rate of first operation with holmium:YAG laser lithotripsy and with extracorporeal shock wave lithotripsy was 90.8% and 82.4%,respectively(P0.05).Conclusion:Extracorporeal shock wave lithotripsy is simple,effective.It is indicated as the first choice in the treatment of simple acute ureteral calculi.The stone-free rate of first operation with holmium laser lithotripsy is higher than with extracorporeal shock wave lithotripsy.It is indicated as the first choice in the treatment of complexity acute ureteral calculi.