Effectiveness analysis of ureteroscopic lithotripsy in treating ureteral stones
输尿管软镜碎石取石术治疗输尿管结石的疗效分析

摘要

目的 研究探讨输尿管结石患者治疗中采取输尿管软镜碎石取石术的疗效。方法 本次研究选取50例于2022年7月-2025年7月间就诊于我院的输尿管结石患者，对其进行随机数表法分组，观察组30例，先给予患者输尿管支架植入，再进行软镜碎石取石术治疗；对照组20例，患者接受输尿管软镜碎石取石术。在不同治疗方案下，比较两组临床疗效。结果 观察组患者手术时间相对更短，治疗费用更高，P＜0.05。两组住院时间相比无差异，P＞0.05。观察组手术成功率、结石清除率相较于对照组更高，P＜0.05。术后2h、6h、12h观察组患者VAS评分较低，P＜0.05；术后24h两组评分比较无差异，P＞0.05。两组间并发症发生率对比无差异，P＞0.05。结论 对输尿管结石患者进行输尿管软镜碎石取石术治疗，在术前先置入输尿管支架，虽然在一定程度上增加了治疗费用，但能够提高手术效率和成功率，保证结石清除效果，减轻术后患者疼痛不适，且不增加并发症发生风险，体现出显著的治疗优势。

Abstract

Objective To investigate the therapeutic efficacy of ureteroscopic lithotripsy in managing ureteral stone patients.
Methods This study enrolled 50 ureteral stone patients treated at our hospital between July 2022 and July 2025. Patients were randomly assigned into two groups using a random number table: the observation group (30 cases) received ureteral stent placement followed by ureteroscopic lithotripsy, while the control group (20 cases) underwent ureteroscopic lithotripsy alone. Clinical outcomes were compared between the two groups.
Results The observation group demonstrated shorter operative time and higher treatment costs (P<0.05). There was no significant difference in hospitalization duration between groups (P>0.05). The observation group showed higher success rates and stone clearance rates compared to the control group (P<0.05). Postoperative VAS scores were significantly lower in the observation group at 2h,6h, and 12h (P<0.05), but no difference was observed at 24h (P>0.05). No significant difference in complication rates was found between groups (P>0.05).
Conclusion   Ureteroscopic lithotripsy with preoperative stent placement, while increasing treatment costs, demonstrates significant therapeutic advantages. It improves surgical efficiency and success rates, ensures effective stone removal, reduces postoperative pain, and maintains low complication risks, highlighting its clinical benefits.