【摘要】 目的探讨留置双"J"管治疗上尿路疾病引起顽固性肾绞痛的价值。方法顽固性肾绞痛患者118例(A组),采用输尿管镜下留置双"J"管急诊治疗成功;选择同期各种原因未置双"J"管而仅予对症处理的顽固性肾绞痛患者57例作为对照(B组)。比较两组的疼痛转归及肾功能恢复情况。结果 A组患者疼痛程度明显减轻,治疗有效率高于B组(98.3%vs.66.7%)(P<0.05)。同时,急性梗阻性肾功能不全患者置双"J"管后肾功能明显好转,尿量>400ml/d。结论顽固性肾绞痛患者急诊输尿管镜下留置双"J"管,能迅速缓解肾绞痛,改善肾功能。更多还原

【Abstract】 Objective To investigate the outcomes of double-J catheter placement in treating refractory renal colic.Methods A total of 118 cases(group A) with refractory renal colic caused by the upper urinary tract disease was successfully placed double-J catheter through emergency ureteroscope and 57 cases(group B) with the same diagnosis as in group A were treated only with medicine because of various reasons without double-J catheter placement.The improvements in pain and renal function were compared.Results The effectiveness rate was higher in group A than that in group B(98.3% vs.66.7%)(P<0.05).Renal colic in group A was attenuated and renal function of obstructive nephropathy improved obviously though double-J catheter placement with urinary volume of greater than 400 ml/d.Conclusion Placing double-J catheter through emergency ureteroscope can quickly and effectively attenuate refractory renal colic and improve renal function.更多还原