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目的探讨急诊输尿管镜下碎石取石术治疗输尿管结石并顽固性绞痛的临床应用价值。方法对120例输尿管结石并顽固性绞痛患者输尿管镜下碎石取石治疗,其中上段结石20例,中段结石36例,下段结石64例。结果上、中、下段结石治疗成功率分别为80.0%(16/20)、94.4%(34/36)、96.9%(62/64),未出现输尿管穿孔、断裂、菌血症等严重并发症。结论输尿管结石并顽固性绞痛急诊输尿管镜下治疗是安全有效微创的治疗方法。
Objective To investigate the clinical value of emergency ureteroscopic lithotripsy in the treatment of ureteral calculi and intractable colic. Methods 120 patients with ureteral calculi and refractory colic were treated by ureteroscopic lithotripsy, of which 20 cases had upper calculus, 36 had middle calculus, and 64 had lower calculus. Results The success rates of upper and middle stones were 80.0% (16/20), 94.4% (34/36) and 96.9% (62/64), respectively. No serious complications such as ureter perforation, rupture and bacteremia occurred . Conclusions Ureteroscopic treatment of ureteral calculi and refractory colic is a safe and effective minimally invasive treatment.