Comparison of clinical effects of two methods in the treatment of ureteral calculi

ObjectiveTo investigate the clinical effect of two methods in the treatment of ureteral calculi.

MethodsA total of 184 patients with ureteral calculi were randomly divided into two groups.Both groups were treated with B-ultrasound-guided shock wave lithotripsy.The control group (91 cases) was given Jinqiancao granules orally for 2 weeks after operation.The observation group (93 cases) was treated with tanluoxin hydrochloride sustained-release tablets and furosemide tablets before lithotripsy.After operation, Shuangjin Paishi granules and tanluoxin hydrochloride sustained-release tablets were taken every day for 2 weeks.The positioning time and rate of complete stone crushing, intraoperative, postoperative and total stone free rate, ureteral segmental stone free rate, and complication rate were observed.

ResultsThe stone localization time in the observation group was significantly shorter than that in the control group (P < 0.01).The dispersion distance of crushed stone particles and the maximum transverse diameter of crushed stone particles were significantly different (P < 0.05).The rate of complete stone crushing, intraoperative, postoperative and total stone free rate in the observation group were significantly higher than those in the control group (P < 0.01).There was a statistically significant difference in the clearance rate of lower ureteral calculi between the two groups (P < 0.05).The incidences of postoperative WBC positive urine, microscopic hematuria, gross hematuria, pain and stone street in the observation group were lower than those in the control group (P < 0.05 to P < 0.01).

ConclusionsThe extracorporeal shock wave lithotripsy, which applies diuretics and α 1A receptor blocker before operation, and Shuangjin Paishi granule combined with tanluoxin hydrochloride after operation, has the advantages of short stone localization time, good lithotripsy effect, high stone free rate and low complication rate.