257. Therapeutic effects of two lithotripsy procedures for upper ureteral calculi and their impact on patients' mental health

Abstract Background Upper ureteral calculi are calculi located in the ureteral segment between the renal outlet and the iliac vascular level. They can cause severe low back pain, hematuria, nausea, vomiting and other symptoms. In severe cases, they may lead to hydronephrosis or renal function damage. Common treatment methods include Extracorporeal Shock Wave Lithotripsy (ESWL) and Ureteroscopic Lithotripsy (URS). However, there are differences between these two methods in terms of therapeutic effect and impact on patients' mental health. Therefore, this study analyzed and compared the therapeutic effects of these two types of lithotripsy and evaluated their impact on patients' mental health, with the aim of providing a certain theoretical basis for mental health guidance in the treatment of ureteral calculi. Methods A total of 100 patients with upper ureteral calculi were randomly selected for the study and divided into two groups, with 50 patients in each group. One group received ESWL treatment, and the other group received URS treatment. All patients underwent mental health assessments before and after treatment, including scores on anxiety and depression scales. The research results were compared through statistical analysis. Results The mental health impact results of each group under different treatment methods are shown in Table 1. As can be seen from Table 1, there are significant differences (p