Curative effect and safety of different surgical methods in the treatment of upper ureteral calculi

Objectives: To investigate the curative effect of percutaneous nephrolithotomy pneumatic ballistic lithotripsy and minimally invasive percutaneous nephrolithotomy lithotripsy in the treatment of upper ureteral calculi.Methods: We selected 96 cases of upper ureteral calculi patients from our hospital from December 2010 to December 2011 and divided them into group A and group B.We treated group A and group B with minimally invasive percutaneous nephrolithotomy lithotripsy and percutaneous nephrolithotomy pneumatic lithotripsy treatment respectively,and compared the operation time,blood loss,postoperative hospital stay,postoperative hospital costs,gravel success rate,stones drained rate and complication rate.Results: For patients in group B,their surgery time,blood loss,postoperative hospital stay and postoperative hospital stay costs are significantly less than those of patients in group A(P0.05).The success rate of gravel and drain of group B is significantly lower than that of group A(P0.05).The libido and sexual orgasm of the patients in group B are significantly worse than those in group A.There is no significant difference in surgical complications(P0.05).Conclusions: Percutaneous nephrolithotomy pneumatic ballistic lithotripsy treatment requires shorter operation time,less blood loss,shorter postoperative hospital stay and postoperative hospital stay and lower cost while minimally invasive percutaneous nephrolithotomy lithotripsy treatment achieves higher success rate of gravel and stone draining.As a result,for patients who have larger stone size and longer residence time,percutaneous nephrolithotomy pneumatic lithotripsyis is more favorable;otherwise,minimally invasive percutaneous nephrolithotomy lithotripsy treatment should be adopted.