AI Article Synopsis
- The study aimed to explore how the degree of hydronephrosis and the computed tomography (CT) value of stones impact the success of ureteroscopic lithotripsy (URSL) in patients with upper urinary tract infectious calculi.
- Clinical data from 152 patients who underwent URSL were analyzed, revealing that those with higher hydronephrosis and higher CT values of stones had a lower success rate in the procedure.
- The findings suggest that both hydronephrosis severity and CT value of calculi serve as useful predictors for the effectiveness of URSL, aiding in the development of patient treatment plans.
Article Abstract
Objective: The correlation of the degree of hydronephrosis and computed tomography (CT) value of calculi with the efficacy of ureteroscopic lithotripsy (URSL) in patients with upper urinary tract infectious calculi was explored.
Methods: The clinical data of 152 patients with upper urinary tract infectious calculi and on URSL in Shanghai Baoshan District Wusong Central Hospital from November 2019 to November 2021 were collected for retrospective analysis. All patients received CT examination before surgery. According to the therapeutic effect of URSL, all patients were divided into the non-calculi group (NCG, n = 101) and residual calculi group (RCG, n = 51), which were compared in terms of the degree of hydronephrosis and CT value of calculi. Then, the correlation of the degree of hydronephrosis and CT value of calculi with the efficacy of URSL in patients was analysed.
Results: No significant difference in clinical data was found between the groups ( > 0.05). Patients in the NCG group had lower degree of hydronephrosis than those in the RCG group ( < 0.05), and the NCG had lower CT value of calculi ( < 0.001). Spearman rank correlation analysis showed that the degree of hydronephrosis in patients with upper urinary tract infectious calculi was negatively correlated with the efficacy of URSL (r = -0.676, < 0.001), and the CT value of calculi in such patients was negatively correlated with the efficacy of URSL (r = -0.795, < 0.001).
Conclusions: The degree of hydronephrosis and CT value of calculi were negatively correlated with the efficacy of URSL. Both can be used to predict clinical efficacy and have clinical guiding value for the formulation of treatment plans in patients with urinary tract infectious calculi.
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| http://dx.doi.org/10.56434/j.arch.esp.urol.20237606.45 | DOI Listing |
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