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目的探讨应用体外冲击波碎石术急诊治疗输尿管结石嵌顿绞痛的适应证、方法及经验。方法对我院近3年来共收治的134例输尿管结石嵌顿绞痛病人的临床资料进行回顾性分析。方法经1次ESWL治疗成功者118例(89.5%),经1次ESWL治疗绞痛缓解者122例(94%),绝大多数患者在ESWL治疗开始后均8～12min(冲击350～550次后)即绞痛缓解,并可在B超定位下见结石影粉碎散开或消失。结论只要熟练掌握体外冲击波碎石术,并在准确定位的情况下,对急性输尿管结石嵌顿伴绞痛患者采取急诊ESWL将得到良好的疗效。
Objective To investigate the indications, methods and experience of using emergency extracorporeal shock wave lithotripsy in the treatment of urinary calculus incarcerated colic. Methods A retrospective analysis was performed on the clinical data of 134 patients with ureteral calculus incontinence who had been admitted to our hospital in the recent 3 years. Methods A total of 118 patients (89.5%) were treated with 1 ESWL and 122 patients (94%) were treated with 1 ESWL. Most of the patients were treated with ESWL for 8-12 min (350 ~ 550 shocks After) angina relieved, and can be seen in the B-positioning lithotomy crushed scattered or disappear. Conclusion As long as the extracorporeal shock wave lithotripsy is mastered and the emergency ESWL is administered to patients with acute ureteral calcification and incontinence under the condition of accurate positioning, good curative effect will be obtained.