【摘要】 目的探讨急诊输尿管镜碎石取石术治疗输尿管中下段结石并肾绞痛的临床应用价值。方法回顾分析我院2006年1月至2008年12月行急诊输尿管镜下碎石取石手术治疗输尿管结石并肾绞痛的患者临床资料,共137例,其中男78例,女59例,平均年龄38±9岁。中段11例,下段126例。结果 130例患者一次取石成功,成功率94.9%(130/137);7例未成功,其中2例术中发现结石已排入膀胱,5例进镜失败,术后行体外冲击波碎石术(ESWL),2个月内复查结石均排净。结论急诊行输尿管镜下碎石取石术治疗输尿管中下段结石并肾绞痛是一安全有效选择。更多还原

【Abstract】 Objective To evaluate the value of emergency management of renal colic due to middle or lower ureteral calculi by ureteroscope.Methods From Jan.2006 to Dec.2008,137 patients(78 males and 59 females,mean age:38±9 years) were performed pneumatic lithotripsy or pincers under ureteroscope.The calculi in 11 cases were located in the middle ureter and 126 cases in the lower ureter.Results Ureterscopy was performed successfully in 130 of 137 cases(94.9%) at first time.The operations were failed in 7 cases.The stones were found expelled into bladder spontaneously in 2 cases,and the ureteroscope failed to be inserted into the ureter in 5 cases,then ESWL was performed.Stones were entirely expelled within 2 months after the operation.Conclusion Emergency management of renal colic due to middle or lower ureteral calculi by ureteroscope is safe and effective.更多还原