Correlation of the Degree of Hydronephrosis and Computed Tomography Value of Calculi with Efficacy of Ureteroscopic Lithotripsy in Patients with
Upper Urinary Tract Infectious Calculi.
ARCH ESP UROL 2023;
76:377-382. [PMID:
37681327 DOI:
10.56434/j.arch.esp.urol.20237606.45]
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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 (p > 0.05). Patients in the NCG group had lower degree of hydronephrosis than those in the RCG group (p < 0.05), and the NCG had lower CT value of calculi (p < 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, p < 0.001), and the CT value of calculi in such patients was negatively correlated with the efficacy of URSL (r = -0.795, p < 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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