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目的:探讨急诊输尿管镜下取(碎)石术治疗输尿管结石并顽固性肾绞痛的临床应用价值。方法:采用急诊输尿管镜下取(碎)石术治疗输尿管结石并顽固性肾绞痛患者300例,其中上段结石35例,中段结石87例,下段结石178例。较小结石用取石钳取出,较大者用气压弹道碎石。结果:上、中、下段结石治疗成功率分别为74.3%、95.4%、97.75%;未出现输尿管黏膜撕脱、断裂、菌血症等严重并发症。结论:急诊输尿管镜下治疗输尿管结石并顽固性肾绞痛安全有效,损伤小,可作为首选方法之一。
Objective: To evaluate the clinical value of emergency ureteroscopic lithotripsy in the treatment of ureteral calculi and refractory renal colic. Methods: Thirty patients with ureteral calculi and refractory renal colic were treated by emergency ureteroscopic lithotripsy. Among them, there were 35 cases of upper calculus, 87 cases of middle calculus and 178 cases of lower calculus. Small stone with a stone clamp removed, the greater the use of pneumatic lithotripsy. Results: The success rates of upper, middle and lower stones were 74.3%, 95.4% and 97.75% respectively. There was no serious complications such as avulsion of ureter mucosa, rupture and bacteremia. Conclusions: Emergency ureteroscopic treatment of ureteral calculi and refractory renal colic is safe and effective, with less damage, which may be one of the preferred methods.