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目的:评价输尿管镜下急诊处理结石导致急性输尿管梗阻的安全有效性。方法:对188例经尿道输尿管镜下急诊处理结石致急性上尿路梗阻的临床资料进行总结。结果:平均手术时间31 min。成功放置支架引流管185例。取石碎石178例,2例改开放手术,1例改血液透析,总有效率98.4%。结论:输尿管镜的急诊运用能安全有效地解除输尿管梗阻,特别是输尿管中下段结石首选治疗方法。
OBJECTIVE: To evaluate the safety and effectiveness of ureteroscopic emergency treatment of stones leading to acute ureteral obstruction. Methods: The clinical data of 188 cases of acute upper urinary tract obstruction treated by emergency urethral ureteroscopy were summarized. Results: The average operation time was 31 min. 185 cases of stent placement were successfully placed. Stone lithotomy 178 cases, 2 cases changed to open surgery, 1 case of hemodialysis, the total effective rate was 98.4%. Conclusion: Urgent ureteroscopy can safely and effectively relieve ureteral obstruction, especially in the lower ureteral calculi preferred treatment.