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目的:评价应用体外冲击波碎石(ESWL)急诊治疗由输尿管结石导致肾绞痛的疗效。方法:选择2000-01/2007-04湖北省应城市人民医院急诊应用ESWL治疗由输尿管结石梗阻导致的急性肾绞痛186例。结果:单次ESWL治疗结石完全碎裂140例(76%),未完全碎裂46例(24%);ESWL治疗后疼痛完全缓解160例(86%),26例(14%)患者仍需要进一步止痛处理。结论:应用此方法治疗简便、经济、不需麻醉,能在门诊治疗,特别是对顽固性肾绞痛患者,更是一种有效的治疗手段,值得推广。
OBJECTIVE: To evaluate the efficacy of emergency ESWL in the treatment of renal colic caused by ureteral calculi. Methods: A total of 186 patients with acute renal colic caused by ureteral calculi obstruction were enrolled in the emergency department of Yingcheng People ’s Hospital of Hubei Province from January 2000 to April 2007. RESULTS: Complete ESLL stones were completely disrupted in 140 (76%) and incompletely disrupted in 46 (24%); pain was completely relieved in 160 (86%) patients after ESWL and in 26 (14%) patients Further analgesic treatment. Conclusion: This method is simple, economical, without anesthesia and can be used in outpatient treatment, especially for patients with refractory renal colic. It is an effective treatment and worth promoting.