| Objective To explore the clinical efficacy of different minimally invasive procedures in the treatment of upper ureteral calculi.Methods The clinical data of 80 patients with upper ureteral calculi, ever treated with minimally invasive lithotomy in our hospital from Jul 2012 to Aug 2015, were retrospectively analyzed.According to different minimally invasive procedures, all patients were divided into the MPCNL group (n=32), the URL group (n=29) and the RLU group (n=19), and such indicators as operation time, postoperative hospitalization time, calculi clearance rate and postoperative complications among the three groups were compared.Results The calculi length and diameter in the RLU group were significantly longer than those in the URL group and MPCNL group (P<0.05).The operation time of RLU group was the longest and that of URL group was the shortest (P<0.05), but the postoperative hospital stay of MPCNL group was the longest and that of URL group was the shortest (P<0.05).The calculi clearance rates in the MPCNL group and RLU group were significantly higher than that in the URL group (P<0.05), but the difference between the MPCNL group and the RLU group was not statistically significant (P>0.05).There were no significant difference in the incidences of postoperative complications and necessity for ESWL treatment among the three groups (P>0.05).Conclusion All procedures of MPCNL, URL and RLU are effective methods for the treatment of upper ureteral calculi.Thereinto, MPCNL are suitable for patients with larger calculi or failed URL, and when URL or MPCNL fail, RLU can be considered to use. |
