【摘要】 目的 探讨输尿管镜下碎石术治疗输尿管结石并发肾绞痛的疗效。 方法 对80例因输尿管结石并发肾绞痛患者,采用输尿管镜下碎石术。 结果 1例因结石上移至肾盂,1例因输尿管下段狭窄使输尿管镜无法到达结石部位手术失败,其余78例均碎石成功,术后当天肾绞痛缓解,碎石手术成功率和术后肾绞痛缓解率均为97.5%。 结论 输尿管镜下碎石术治疗输尿管结石及其引起的肾绞痛,是一种安全、有效的方法。
【关键词】 肾绞痛 输尿管镜 碎石术
【Abstract】 Objective To evaluate the clinical efficacy of ureteroscopic lithotripsy for the treatment of ureteral calculi with renal colic.Methods A total of 80 cases of ureteral calculi with renal colic were treated by ureteroscopic lithotripsy.Results Successful lithotripsy was achieved in 78 cases ,two cases failed because movement of calculus to pelvis renalis in one and no access to calculus site by ureteroscope due to ureterostenosis at inferior segment in the other . Conclusions Ureteroscopic lithotripsy is an effective and safe method for the treatment of ureteral calculi with renal colic.
【Key words】 Renal colic Ureteoscopy Lithotripsy
肾绞痛是泌尿外科的一种常见病,以往多采用解痉、止痛等保守疗法,但一部分患者肾绞痛不易控制,并且常因病因未解除而反复发作。近几年来,应用输尿管镜配合气压弹道碎石技术,对输尿管结石并发肾绞痛有较好疗效。本院2004年10月至2007年7月 ,应用输尿管镜下气压弹道碎石术治疗输尿管结石引起的肾绞痛80例,效果满意,现报告如下。
1 临床资料
……
<<<<<全文未完,本文约1772个中文字,未计算英文字母、数字>>>>>