Abstract: Objective To study the clinical value of extracorporeal shock wave lithotripsy plus ureteroscopic lithotripsy in the treatment of upper ureteral calculi.Methods Fifty upper ureteral calculi patients (diameter of stone:0.9-1.8 cm) treated from January 2005 to April 2019 in our hospital were selected and randomly assigned to two groups, with 25 cases in each group.The study group took extracorporeal shock wave lithotripsy and ureteroscopic lithotripsy; the control group took percutaneous nephrolithotomy.The curative effect was compared.Results The study group showed reduced operation time, intraoperative blood loss, hospitalization time, and hospitalization cost compared with the control group (P＜0.05).The stone removal rate in the study group (92.00%) was higher than that in the control group (76.00%, P＜0.05); the complication rate in the study group (4.00%) was lower than that in the control group (16.00%, P＜0.05).Before surgery, the scores of physiological function, body pain, social function, and role emotional between the two groups were not significantly different (P＞0.05).After surgery, the scores in the study group were higher than those in the control group (P＜0.05).Conclusion The combination of extracorporeal shock wave lithotripsy and ureteroscopic lithotripsy can increase stone removal rate, shorten treatment time, reduce family financial burden, reduce patients’ complications, and improve their quality of life.

Key words: Upper ureteral calculi, Extracorporeal shock wave lithotripsy, Effect observation, ureteroscopic lithotripsy