Impact of Stone CT Value on Ureteroscopic Holmium Laser Lithotripsy Outcomes in Kidney Stone Treatment.

IF 0.6 4区医学 Q4 UROLOGY & NEPHROLOGY Archivos Espanoles De Urologia Pub Date : 2024-09-01 DOI:10.56434/j.arch.esp.urol.20247708.131

Libo Yu, Peipei Feng, Xingwen Huang

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Abstract

Background: Kidney stone disease (KSD) is a prevalent and significant global urological issue, and ureteroscopic holmium laser lithotripsy (UHLL) is a primary treatment option. This study aimed to assess the impact of stone computed tomography (CT) value on the outcomes of UHLL in treating KSD.

Methods: A retrospective analysis was conducted on the clinical data of 101 patients who underwent UHLL at our hospital between September 2022 and December 2023. Patients were categorised into two groups based on stone CT values. Demographic characteristics, intraoperative factors, stone clearance, and complications were evaluated and compared between the low- and high-CT groups.

Results: The high-CT group had significantly longer intraoperative durations than the low-CT group (p < 0.001). Fragmentation time was considerably higher in the high-CT group (p < 0.001). Stone clearance rates after three postoperative months were substantially higher in the low-CT group (98.04%) than in the high-CT group (84.00%) (χ² = 4.523, p = 0.033). Although the low-CT group had a lower complication rate, the difference was insignificant (p = 0.356). CT values showed a positive correlation with durations of operation and fragmentation (p < 0.01), and a negative correlation with stone clearance (p < 0.05).

Conclusions: Stone CT values are key factors influencing the procedural outcomes and postoperative complications of UHLL.

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结石 CT 值对输尿管镜钬激光碎石术治疗肾结石疗效的影响

背景：肾结石病（KSD）是全球普遍存在的重大泌尿外科问题，输尿管镜下钬激光碎石术（UHLL）是一种主要的治疗方法。本研究旨在评估结石计算机断层扫描（CT）值对 UHLL 治疗 KSD 结果的影响：方法：对 2022 年 9 月至 2023 年 12 月期间在我院接受 UHLL 的 101 例患者的临床数据进行回顾性分析。根据结石 CT 值将患者分为两组。对低CT组和高CT组的人口统计学特征、术中因素、结石清除率和并发症进行了评估和比较：结果：高 CT 组的术中持续时间明显长于低 CT 组（P < 0.001）。高 CT 组的碎石时间更长（p < 0.001）。术后三个月后，低 CT 组的结石清除率（98.04%）远高于高 CT 组（84.00%）（χ2 = 4.523，P = 0.033）。虽然低 CT 组的并发症发生率较低，但差异并不显著（p = 0.356）。CT 值与手术时间和碎石时间呈正相关（p < 0.01），与结石清除率呈负相关（p < 0.05）：结石 CT 值是影响 UHLL 手术效果和术后并发症的关键因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Archivos Espanoles De Urologia UROLOGY & NEPHROLOGY-

CiteScore

0.90

自引率

0.00%

发文量

111

期刊介绍： Archivos Españoles de Urología published since 1944, is an international peer review, susbscription Journal on Urology with original and review articles on different subjets in Urology: oncology, endourology, laparoscopic, andrology, lithiasis, pediatrics , urodynamics,... Case Report are also admitted.