ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG BỆNH NHÂN SỎI NIỆU QUẢN ĐƯỢC ĐIỀU TRỊ BẰNG PHƯƠNG PHÁP NỘI SOI TÁN SỎI NGƯỢC DÒNG TẠI BỆNH VIỆN ĐẠI HỌC VÕ TRƯỜNG TOẢN NĂM 2020-2026

Abstract

Objective: To describe the clinical and paraclinical characteristics of patients with ureteral calculi treated by retrograde ureteroscopic lithotripsy at Vo Truong Toan University Hospital during the period 2020–2026.

Methods: A retrospective descriptive study was conducted on 30 patients diagnosed with ureteral stones who were indicated for retrograde ureteroscopic laser lithotripsy at Vo Truong Toan University Hospital from 2020 to 2026.

Results: Among 30 patients with ureteral calculi, the most common clinical presentation was renal colic, accounting for 90%. On ultrasonography, grade I hydronephrosis was the most frequent finding (66.67%). Stone size on CT scan was predominantly 5 to <10 mm (63.33%), and most patients had a single stone (86.67%). The most common location was the middle third of the ureter (56.67%). On plain abdominal radiography of the urinary system (KUB), stones were not detected in 60% of cases.

Conclusion: Ureteral calculi commonly present with renal colic, with ultrasonography typically showing grade I hydronephrosis. Stones are generally small to moderate in size, most are solitary, and are most frequently located in the middle third of the ureter. Plain abdominal radiography of the urinary system (KUB) has limited diagnostic value for stone detection.